FDA Adverse Event Injury Summary report: N

BD CONVENTIONAL NEEDLES

MDR report key: 19243922 · Received May 3, 2024

Report

Report Number
3002682307-2024-00092
Event Type
Injury
Date Received
May 3, 2024
Date of Event
April 8, 2024
Report Date
June 10, 2024
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMF
UDI-DI
00382903004003
PMA / PMN Number
UNK
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

D. THE LOT NUMBER 220618 PROVIDED CANNOT BE VERIFIED IN ASSOCIATION WITH THE REPORTED MATERIAL NUMBER. H.3. A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED.

Additional Manufacturer Narrative · 0

INVESTIGATION: A REPORT FOR NEEDLE SEPARATION FROM HUB WAS RECEIVED WITH THE MATERIAL INFORMATION OF MATERIAL 304000 AND BATCH 220618. TO AID IN THE INVESTIGATION OF THIS ISSUE, THE AFFECTED SAMPLE WAS RETURNED TO OUR QUALITY INVESTIGATIVE TEAM. UPON EXAMINATION OF THE RETURNED SAMPLE, IT WAS IDENTIFIED THAT THE MATERIAL DID NOT ALIGN WITH THE BD MICROLANE PRODUCT LINE. THE RETURNED SAMPLE DID NOT BELONG TO MATERIAL 304000 AND BATCH 220618, NOR DID IT ALIGN WITH THE BD MICROLANCE NEEDLE PRODUCT LINE IN GENERAL. THE NEEDLE SAMPLE APPEARS TO BELONG TO ANOTHER COMPANY BASED ON A THOROUGH ANALYSIS OF THE PRODUCT DESIGN COMPONENTS. BASED ON THIS CONCLUSION, NO FURTHER INVESTIGATION RESULTS COULD BY CONCLUDED BY BD FOR THIS REPORTED INCIDENT. CORRECTION: CANCEL MDR. THIS IS NOT A BD PRODUCT.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD CONVENTIONAL NEEDLES NEEDLE PULLED OUT OF HUB. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: NEEDLE USED TO INFLITRATE LOCAL ANAESTHETIC FOR INSERTION OF ARTERIAL LINE ON R WRIST W/ U/S GUIDANCE. NEEDLE MOVED TO REPOSITION AND NOTED NEEDLE WAS NO LONGER ATTACHED TO PLASTIC HUB. NEEDLE VISUALISED IN THE SUB-Q TISSUES W/ U/S AND WITH X-RAY. PATIENT REQUIRED SURGICAL EXPLORATION UNDER GENERAL ANAESTHESIA OF HER WRIST TO REMOVE NEEDLE, IN ADDITION TO HER INTENDED OPERATION RESULTING IN PROLONGED ANAESTHETIC TIME.

Description of Event or Problem · 0

NO ADDITIONAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
782539 BD CONVENTIONAL NEEDLES SYRINGE, PISTON FMF BECTON DICKINSON, S.A. 00382903004003

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention