FDA Adverse Event Malfunction Summary report: N

BD MICROLANCE NEEDLES

MDR report key: 20629025 · Received November 7, 2024

Report

Report Number
3002682307-2024-00238
Event Type
Malfunction
Date Received
November 7, 2024
Date of Event
July 19, 2024
Report Date
January 29, 2025
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMI
UDI-DI
00382903010004
PMA / PMN Number
UNK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED MATERIAL NUMBER 301000 AND LOT NUMBER 220922. THE REVIEW DID NOT REVEAL ANY DETECTED ABNORMALITIES DURING THE PRODUCTION PROCESS THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT AND ALL QUALITY TESTS WERE FOUND TO BE WITHIN SPECIFICATION. AS SAMPLES WERE UNAVAILABLE FOR RETURN, TWENTY (20) RETAINED SAMPLES OF THE SAME LOT NUMBER WERE OBTAINED FOR EVALUATION BY OUR QUALITY TEAM. THE RETAINED SAMPLES WERE ASSEMBLED WITH A BD EMERALD 2ML SYRINGE BY FOLLOWING REGULAR PRACTICES. THE HUB WAS POSITIONED ONTO THE SYRINGE TIP WITH A SLIGHTLY ROTATIONAL MOVEMENT. NONE OF THE RETAINED SAMPLES DISPLAYED ANY SIGNS OF DEFECT AND NO LEAKAGE WAS OBSERVED. BASED ON THE INVESTIGATION RESULTS, AN EXACT MANUFACTURING RELATED CAUSE COULD NOT BE DETERMINED AT THIS TIME. ALTHOUGH THESE ARE NOT CONFIRMED CAUSES, IT IS POSSIBLE THAT THE REPORTED INCIDENT RESULTED FROM A DEFECTIVE CONNECTION DUE TO DEFECTIVE LUER DIMENSIONS OR DAMAGE TO THE SYRINGE OR CONNECTOR TIP. IT IS ALSO POSSIBLE THAT THE INCIDENT COULD BE RELATED TO AN INSUFFICIENT ADJUSTMENT BETWEEN THE TWO DEVICES DURING USE. BASED ON THE PREVENTIVE MEASURES IN PLACE, WE BELIEVE IT IS UNLIKELY THAT THE REPORTED INCIDENT RESULTED FROM A DAMAGED NEEDLE. AT THIS TIME, FURTHER ACTION HAS NOT BEEN DETERMINED NECESSARY. OUR QUALITY TEAM WILL CONTINUE TO CLOSELY MONITOR THE MANUFACTURING PROCESS FOR SIGNS OF THIS POTENTIAL DEFECT AND ANY EMERGING TRENDS.

Additional Manufacturer Narrative · 0

H.3. A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED. E1. ADDRESS INFORMATION WAS NOT PROVIDED, THEREFORE, XX WAS USED AS A PLACE HOLDER.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD MICROLANCE NEEDLE LEAKED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: ON 19TH JULY 2024, DURING MANUFACTURING OF LPS240719C-03 IN OUR DISTRIBUTION ISOLATOR OUR TECHNICIANS DETECT A SPILLAGE OF A SMALL QUANTITY OF SOLUTION BETWEEN THE MICROLANCE NEEDLE (INTERNAL BATCH MIC230612A, SUPPLIER LOT 220922 WITH AN EXPIRY DATE OF 31 AUG 2027) AND THE CONNECTOR WITH THE CATHIVEX FILTER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
49069 BD MICROLANCE NEEDLES NEEDLES, HYPODERMIC FMI BECTON DICKINSON, S.A. 220922 00382903010004

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown