FDA Adverse Event Malfunction Summary report: N

NEEDLE 18X1IN BLUNT FILL

MDR report key: 18684485 · Received February 12, 2024

Report

Report Number
1911916-2024-00075
Event Type
Malfunction
Date Received
February 12, 2024
Date of Event
January 24, 2024
Report Date
February 21, 2024
Manufacturer
BECTON DICKINSON
Product Code
GAA
UDI-DI
30382903051817
PMA / PMN Number
UNK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PR 9599078 FOLLOW UP. A DEVICE HISTORY RECORD REVIEW WAS COMPLETED BY OUR QUALITY ENGINEER TEAM FOR PROVIDED MATERIAL NUMBER 305181 AND LOT NUMBER 3086629. THE REVIEW DID NOT REVEAL ANY DETECTED ABNORMALITIES DURING THE PRODUCTION PROCESS THAT COULD HAVE CONTRIBUTED TO THIS DEFECT AND ALL QUALITY TESTS WERE FOUND TO BE WITHIN SPECIFICATION. AS A SAMPLE WAS UNAVAILABLE FOR RETURN, A THOROUGH SAMPLE INVESTIGATION COULD NOT BE COMPLETED. BASED ON THE INVESTIGATION RESULTS, AN EXACT CAUSE FOR THIS INCIDENT COULD NOT BE IDENTIFIED. SHOULD YOU AGAIN EXPERIENCE ANY PROBLEMS WITH OUR PRODUCT WE WOULD APPRECIATE THE OPPORTUNITY TO CONDUCT A THOROUGH ANALYSIS. THERE ARE QUALITY CONTROLS CURRENTLY IN PLACE TO DETECT THIS TYPE OF DEFECT DURING THE PRODUCTION PROCESS. FURTHER ACTION HAS NOT BEEN DETERMINED NECESSARY AT THIS TIME.

Additional Manufacturer Narrative · 0

(B)(4): INITIAL MDR SUBMISSION. A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED. H3 OTHER TEXT : SEE H10 MANUFACTURE NARRATIVE

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION RECEIVED. GOOD MORNING, WE HAVE RECEIVED IN THE AREA OF SURVEILLANCE OF MEDICAL DEVICES OF THE SPANISH AGENCY OF MEDICINES AND MEDICAL DEVICES, NOTIFICATION FROM THE HEALTH PROFESSIONAL SERGIO GANBO (WITH EMAIL [email protected] ), REGARDING AN INCIDENT WITH THE MEDICAL DEVICE BD BLUNT FILL NEEDLE, MODEL 18G X 1 TW (1.2MM X 25 MM), SERIAL NUMBER UNKNOWN, LOT NUMBER 3086629, OCCURRED ON (B)(6) 2024, IN THE C.S SEVERO OCHOA, GIJÓN, ASTURIAS. THE INFORMATION PROVIDED IS AS FOLLOWS: DESCRIPTION OF THE INCIDENT: THE MEDICATION LOADING NEEDLE DESCRIBED IS NOT SAFE FOR MEDICATION PREPARATION AS ALTHOUGH IT MINIMISES THE RISK OF PUNCTURE, THE BLUNT TIP REQUIRES EXERTING MORE FORCE TO PIERCE THE VIALS WITH THE RISK OF MICROPARTICLES BEING RELEASED FROM THE PLASTIC RUBBER PROTECTING THE VIAL INTO THE DILUTION. OTHER COMMENTS: ADMINISTERING A SOLUTION OF MEDICATION WITH PLASTIC OR GLASS PARTICLES FROM THE VIALS. ON THE OTHER HAND, THE FOLLOWING INFORMATION IS REQUESTED: INCIDENTS AND/OR COMPLAINTS THAT HAVE OCCURRED IN SPAIN OF WHICH YOU HAVE HAD KNOWLEDGE RELATED TO THE PRODUCT. IF THIS PRODUCT HAS BEEN INVOLVED IN AN FSCA. UNITS OF THE AFOREMENTIONED PRODUCT DISTRIBUTED IN SPAIN IN THE LAST 3 YEARS. NUMBER OF UNITS DISTRIBUTED IN EUROPE AND WORLDWIDE IN THE LAST 3 YEARS. WHETHER THEY HAVE CONTACTED THE SITE TO REQUEST THE PRODUCT INVOLVED IN THE INCIDENT OR TO HAVE ACCESS TO IT FOR FURTHER INFORMATION. IN ACCORDANCE WITH ARTICLE 87(11) OF REGULATION (EU) 2017/745 ON MEDICAL DEVICES, THIS INCIDENT IS BROUGHT TO YOUR ATTENTION SO THAT YOU CAN URGENTLY REFER IT TO THE MANUFACTURER OF THE DEVICE AND INITIATE AN INVESTIGATION. THEY SHOULD SEND US THE INITIAL REPORT INCLUDING IN IT OUR REFERENCE FOR THIS DOSSIER (PS/MJF/102105) KEEP US INFORMED OF THE PROGRESS OF THE INVESTIGATION RELATED TO THIS INCIDENT AND SEND US THE FINAL REPORT WITH THE RESULTS OF THE INVESTIGATION AND POSSIBLE CORRECTIVE ACTIONS. THIS INCIDENT REPORT HAS BEEN ASSIGNED THE REFERENCE PS/MJF/102105, TO WHICH YOU ARE KINDLY REQUESTED TO REFER IN CASE OF FORWARDING ANY INFORMATION RELATED TO THIS INCIDENT. THANK YOU VERY MUCH, YOURS FAITHFULLY.

Description of Event or Problem · 0

GOOD MORNING, WE HAVE RECEIVED IN THE AREA OF SURVEILLANCE OF MEDICAL DEVICES OF THE SPANISH AGENCY OF MEDICINES AND MEDICAL DEVICES, NOTIFICATION FROM THE HEALTH PROFESSIONAL (B)(6) (WITH EMAIL (B)(6)), REGARDING AN INCIDENT WITH THE MEDICAL DEVICE BD BLUNT FILL NEEDLE, MODEL 18G X 1 TW (1.2MM X 25 MM), SERIAL NUMBER UNKNOWN, LOT NUMBER 3086629, OCCURRED ON (B)(6) 2024, IN THE C.S SEVERO OCHOA, GIJÓN, ASTURIAS. THE INFORMATION PROVIDED IS AS FOLLOWS: DESCRIPTION OF THE INCIDENT: THE MEDICATION LOADING NEEDLE DESCRIBED IS NOT SAFE FOR MEDICATION PREPARATION AS ALTHOUGH IT MINIMISES THE RISK OF PUNCTURE, THE BLUNT TIP REQUIRES EXERTING MORE FORCE TO PIERCE THE VIALS WITH THE RISK OF MICROPARTICLES BEING RELEASED FROM THE PLASTIC RUBBER PROTECTING THE VIAL INTO THE DILUTION. OTHER COMMENTS: ADMINISTERING A SOLUTION OF MEDICATION WITH PLASTIC OR GLASS PARTICLES FROM THE VIALS. ON THE OTHER HAND, THE FOLLOWING INFORMATION IS REQUESTED: - INCIDENTS AND/OR COMPLAINTS THAT HAVE OCCURRED IN SPAIN OF WHICH YOU HAVE HAD KNOWLEDGE RELATED TO THE PRODUCT. - IF THIS PRODUCT HAS BEEN INVOLVED IN AN FSCA. - UNITS OF THE AFOREMENTIONED PRODUCT DISTRIBUTED IN SPAIN IN THE LAST 3 YEARS. - NUMBER OF UNITS DISTRIBUTED IN EUROPE AND WORLDWIDE IN THE LAST 3 YEARS. - WHETHER THEY HAVE CONTACTED THE SITE TO REQUEST THE PRODUCT INVOLVED IN THE INCIDENT OR TO HAVE ACCESS TO IT FOR FURTHER INFORMATION. IN ACCORDANCE WITH ARTICLE 87(11) OF REGULATION (EU) 2017/745 ON MEDICAL DEVICES, THIS INCIDENT IS BROUGHT TO YOUR ATTENTION SO THAT YOU CAN URGENTLY REFER IT TO THE MANUFACTURER OF THE DEVICE AND INITIATE AN INVESTIGATION. THEY SHOULD SEND US THE INITIAL REPORT INCLUDING IN IT OUR REFERENCE FOR THIS DOSSIER (PS/MJF/102105) KEEP US INFORMED OF THE PROGRESS OF THE INVESTIGATION RELATED TO THIS INCIDENT AND SEND US THE FINAL REPORT WITH THE RESULTS OF THE INVESTIGATION AND POSSIBLE CORRECTIVE ACTIONS. THIS INCIDENT REPORT HAS BEEN ASSIGNED THE REFERENCE PS/MJF/102105, TO WHICH YOU ARE KINDLY REQUESTED TO REFER IN CASE OF FORWARDING ANY INFORMATION RELATED TO THIS INCIDENT. THANK YOU VERY MUCH YOURS FAITHFULLY

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1298835 NEEDLE 18X1IN BLUNT FILL NEEDLE, ASPIRATION AND INJECTION, DISPOSABLE GAA BECTON DICKINSON 3086629 30382903051817

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown