FDA Adverse Event Malfunction Summary report: N

UNKNOWN BD NEEDLE

MDR report key: 19095651 · Received April 12, 2024

Report

Report Number
2243072-2024-00542
Event Type
Malfunction
Date Received
April 12, 2024
Date of Event
March 22, 2024
Report Date
May 7, 2024
Manufacturer
BECTON DICKINSON
Product Code
FMI
PMA / PMN Number
UNK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INITIAL MDR SUBMISSION. A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED.

Additional Manufacturer Narrative · 0

THE REPORTED DEFECT COULD NOT BE REFUTED NOR CONFIRMED IN THE ABSENCE OF A SAMPLE. THE ROOT CAUSE CANNOT BE DETERMINED FOR AN UNCONFIRMED DEFECT. A COMPLAINT HISTORY REVIEW CANNOT BE PERFORMED AS NO MATERIAL AND BATCH/LOT NUMBER WAS PROVIDED. A DEVICE HISTORY REVIEW CANNOT BE PERFORMED AS NO MATERIAL AND BATCH/LOT NUMBER WAS PROVIDED.

Description of Event or Problem · 0

MATERIAL#: UNKNOWN , BATCH#: UNKNOWN. IT WAS REPORTED BY THE CUSTOMER THAT THEY RECEIVED MORE COMPLAINTS FROM THEIR CUSTOMERS. VERBATIM: RCC RECEIVED THIS MAIL ON 22-MAR-2024. WE JUST RECEIVED MORE COMPLAINTS FROM CUSTOMERS TODAY. WE NEED TO BE ABLE TO SEND SAMPLES BACK SO AN RMA AND RETURN LABEL WOULD BE APPRECIATED SO WE CAN DO THAT. RCC RECEIVED THIS MAIL ON 19-MAR-2024. WE ARE AWAITING ANY INFORMATION REGARDING THIS ISSUE. IF THE PRODUCT IS BLOCKED THAT MAKES THE PRODUCT UNUSABLE AND THAT PRESENTS A FUNCTIONALITY ISSUE. I WOULD ASSUME YOU ARE PUTTING THESE INTO FINISHED PRODUCT OF YOUR OWN, SO A CORRECTIVE ACTION SEEMS NECESSARY.

Description of Event or Problem · 0

MATERIAL#: UNKNOWN, BATCH#: UNKNOWN. IT WAS REPORTED BY THE CUSTOMER THAT THEY RECEIVED MORE COMPLAINTS FROM THEIR CUSTOMERS. VERBATIM: RCC RECEIVED THIS MAIL ON 22-MAR-2024. WE JUST RECEIVED MORE COMPLAINTS FROM CUSTOMERS TODAY. WE NEED TO BE ABLE TO SEND SAMPLES BACK SO AN RMA AND RETURN LABEL WOULD BE APPRECIATED SO WE CAN DO THAT. RCC RECEIVED THIS MAIL ON 19-MAR-2024. WE ARE AWAITING ANY INFORMATION REGARDING THIS ISSUE. IF THE PRODUCT IS BLOCKED THAT MAKES THE PRODUCT UNUSABLE AND THAT PRESENTS A FUNCTIONALITY ISSUE. I WOULD ASSUME YOU ARE PUTTING THESE INTO FINISHED PRODUCT OF YOUR OWN, SO A CORRECTIVE ACTION SEEMS NECESSARY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
837068 UNKNOWN BD NEEDLE NEEDLE, HYPODERMIC, SINGLE LUMEN FMI BECTON DICKINSON UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown