FDA Adverse Event Malfunction Summary report: N

UNKNOWN NEEDLES AND SYRINGES

MDR report key: 18909327 · Received March 14, 2024

Report

Report Number
1017768-2024-00029
Event Type
Malfunction
Date Received
March 14, 2024
Report Date
September 11, 2025
Manufacturer
CARDINAL HEALTH
Product Code
FMI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IS
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.

Additional Manufacturer Narrative · 0

SAMPLES WERE NOT RECEIVED FOR THE INVESTIGATION. A DEVICE HISTORY RECORD REVIEW COULD NOT BE PERFORMED BECAUSE A LOT NUMBER WAS NOT RECEIVED WITH THE COMPLAINT. BECAUSE A SAMPLE WAS NOT RETURNED, WE WERE UNABLE TO PERFORM A FOLLOW UP INVESTIGATION TO INCLUDE FUNCTIONAL AND VISUAL EVALUATIONS TO CONFIRM THE REPORTED ISSUE AND DETERMINE THE ROOT CAUSE, THEREFORE A CORRECTIVE ACTION IS NOT APPLICABLE AT THIS TIME. IF A SAMPLE IS RECEIVED AT A LATER DATE, THIS COMPLAINT WILL BE REOPENED FOR FURTHER INVESTIGATION. THIS COMPLAINT WILL BE USED FOR TRACKING AND TRENDING PURPOSES.

Additional Manufacturer Narrative · 0

ADDITIONAL EVENT INFORMATION WAS RECEIVED FROM THE CUSTOMER ON 09JUN2024 THEREFORE SECTION B5 WAS UPDATED.

Additional Manufacturer Narrative · 0

THE DEVICE HISTORY RECORDS FOR THE TWO POSSIBLE LOTS WERE REVIEWED AND INDICATED THAT THE PRODUCTS WERE RELEASED ACCOMPLISHING ALL QUALITY STANDARDS. THERE WERE NO SAFETY NEEDLES OR PHOTOS PROVIDED FOR ANALYSIS. BASED ON THE AVAILABLE INFORMATION, THE REPORTED ISSUE COULD NOT BE OBSERVED, AND AN EXACT ROOT CAUSE WAS NOT DETERMINED. ¿ALL INFORMATION RECEIVED WILL BE USED FOR FURTHER TRACKING AND TRENDING PURPOSES AND WE WILL CONTINUE TO MONITOR.

Additional Manufacturer Narrative · 0

THE DEVICE HISTORY RECORD (DHR) FOR LOTS 008327 OR 112744 WERE REVIEWED AND NO ANOMALIES RELATED TO THE REPORTED ISSUE WERE OBSERVED.PRIOR TO A LOT¿S RELEASE, THE LOT MUST BE DEEMED ACCEPTABLE BY-PASSING INSPECTIONS THAT ARE BASED ON A VALID SAMPLING PLAN. DURING PRODUCTION, INSPECTORS ROUTINELY EXAMINE A STATISTICAL SAMPLE BOTH PHYSICALLY AND VISUALLY. ONE DEVICE WAS RETURNED FOR EVALUATION AND THE REPORTED ISSUE WAS OBSERVED. HOWEVER, THE¿INVESTIGATION DID NOT IDENTIFY A SYSTEMIC ISSUE WITH THE PRODUCT OR PROCESS. A SPECIFIC ROOT CAUSE COULD NOT BE IDENTIFIED BASED ON AVAILABLE INFORMATION. THEREFORE, A CORRECTIVE AND PREVENTIVE ACTION (CAPA) IS NOT NECESSARY AT THIS TIME. WE WILL CONTINUE TO MONITOR RELATED REPORTS TO DETERMINE IF ADDITIONAL ACTIONS ARE NECESSARY.

Description of Event or Problem · 0

THE CUSTOMER REPORTED AN ISSUE REGARDING THE USE OF THE SAFETY NEEDLE AND STATED "AMPULE BAGS/PFS/VIAL LEAKS". THE PRODUCT INFORMATION WAS NOT PROVIDED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED AN ISSUE REGARDING THE USE OF THE SAFETY NEEDLE AND STATED "AMPULE BAGS/PFS/VIAL LEAKS". ON 09JUN2024 THE CUSTOMER PROVIDED ADDITIONAL INFORMATION STATING THAT THE NURSE COULD NOT COMPLETE THE INJECTION BECAUSE SUSPENSION WAS LEAKING BETWEEN THE NEEDLE AND SYRINGE. POSSIBLE ITEM CODE 8881850215, 8881850310. POSSIBLE LOT NUMBER 008327, 112744.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1320794 UNKNOWN NEEDLES AND SYRINGES NEEDLE, HYPODERMIC, SINGLE LUMEN FMI CARDINAL HEALTH

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown