BD VENFLON PRO
Report
- Report Number
- 2243072-2024-00433
- Event Type
- Malfunction
- Date Received
- March 23, 2024
- Date of Event
- February 12, 2024
- Report Date
- August 22, 2024
- Manufacturer
- BECTON DICKINSON
- Product Code
- FOZ
- UDI-DI
- 00382903932047
- PMA / PMN Number
- UNK
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SF
- Reporter Occupation
- 505
Narratives
04 PHOTOS WERE RECEIVED BY BD FOR EVALUATION. A QUALITY ENGINEER WAS ABLE TO REVIEW THE PHOTOS OF VENFLON PRO 20G FROM LOT # 2101138 REGARDING ITEM #393204 WITH THE REPORTED ISSUE THAT PACKAGE SEAL INTEGRITY POOR / QUESTIONABLE. THE PHOTOS SHOWS THAT THE SEAL IS OPEN FROM THE LUER CAP END OF THE CATHETER. ONE PHOTO WITH 5 SAMPLES SHOWS 5-UNIT PACKS WITH SEAL OPEN, SECOND PHOTO SHOW 4 SAMPLES WITH UNIT PACK SEAL OPEN AGAIN FROM LUER CAP SIDE, THIRD AND FOURTH PHOTO SHOWS 1 SAMPLE EACH WHERE SEAL IS OPEN FROM LUER CAP SIDE OF UNIT PACK. THE INVESTIGATION WAS CARRIED OUT ON 25 RETENTION SAMPLES WHERE THE INVESTIGATING TEAM HAS VISUALLY INSPECTED THE SAMPLES FOR PACKAGE SEAL INTEGRITY AND NO POOR / QUESTIONABLE PACKAGE SEAL INTEGRITY WAS FOUND IN THE 25 RETENTION SAMPLES. THE EXACT ROOT CAUSE CAN ONLY BE DETERMINED IF WE RECEIVE THE ORIGINAL SAMPLE.
THE REPORTED ISSUE OF PACKAGE SEAL INTEGRITY POOR/ QUESTIONABLE WAS CONFIRMED UPON INSPECTION OF THE PHOTOS. HOWEVER, BD CANNOT CONFIRM THE CAUSE OF THE FAILURE TO OUR MANUFACTURING PROCESS SINCE NO PHYSICAL SAMPLE WAS RETURNED. WE WOULD BE VERY INTERESTED IN EXAMINING PRODUCT THAT DOES NOT MEET YOUR EXPECTATIONS AND OUR QUALITY STANDARDS. EXAMINATION OF THE ACTUAL PRODUCT INVOLVED MAY PROVIDE CLARIFICATION AS TO THE CAUSE OF THE REPORTED FAILURE. A REVIEW OF OUR RISK MANAGEMENT DOCUMENTATION WAS PERFORMED AND INDICATES THAT THE POTENTIAL RISK OF THE REPORTED EVENT WAS ASSESSED APPROPRIATELY. PRODUCTION RECORDS WERE REVIEWED, AND THIS BATCH MEETS OUR MANUFACTURING SPECIFICATION REQUIREMENTS.
ADDRESS TAB E. TOO LONG: (B)(6). H.3. A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED.
CUSTOMER FOUND VENFLON PRO PACKAGING OPENED AT BOTTOM OF CANNULA. K2 IS A DISTRIBUTOR FOR BD SOUTH AFRICA. THEIR CUSTOMER FOUND THE PACKAGING OF THE VENFLON PRO WERE NOT SEALED, APPEARS PLASTIC HAS HARDENED AND PULLED AWAY FROM CLEAR UNIT CONTAINER. WE HAD A SIMILAR INCIDENT REF#(B)(4).
CUSTOMER FOUND VENFLON PRO PACKAGING OPENED AT BOTTOM OF CANNULA. K2 IS A DISTRIBUTOR FOR BD SOUTH AFRICA. THEIR CUSTOMER FOUND THE PACKAGING OF THE VENFLON PRO WERE NOT SEALED, APPEARS PLASTIC HAS HARDENED AND PULLED AWAY FROM CLEAR UNIT CONTAINER. WE HAD A SIMILAR INCIDENT REF# (B)(4).
IT WAS REPORTED THAT BD VENFLON PRO PACKAGE SEAL IS COMPROMISED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: CUSTOMER FOUND VENFLON PRO PACKAGING OPENED AT BOTTOM OF CANNULA. THEIR CUSTOMER FOUND THE PACKAGING OF THE VENFLON PRO WERE NOT SEALED, APPEARS PLASTIC HAS HARDENED AND PULLED AWAY FROM CLEAR UNIT CONTAINER. WE HAD A SIMILAR INCIDENT REF# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1927734 | BD VENFLON PRO | PERIPHERAL IV CATHETERS | FOZ | BECTON DICKINSON | 2101138 | 00382903932047 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |