FDA Adverse Event Malfunction Summary report: N

BD IAG BC PRO GLOBAL

MDR report key: 20747142 · Received November 21, 2024

Report

Report Number
1710034-2024-01381
Event Type
Malfunction
Date Received
November 21, 2024
Date of Event
October 25, 2024
Report Date
July 14, 2025
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
Product Code
FOZ
UDI-DI
00382903810444
PMA / PMN Number
UNK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

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.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION ADDED IN SECTION B INVESTIGATION RESULTS: A DEVICE HISTORY RECORD REVIEW WAS COMPLETED BY OUR QUALITY ENGINEER TEAM FOR PROVIDED MATERIAL NUMBER 381044 AND LOT NUMBER 4152470. THE REVIEW DID NOT REVEAL ANY DETECTED ABNORMALITIES DURING THE PRODUCTION PROCESS THAT COULD HAVE CONTRIBUTED TO THIS DEFECT AND ALL QUALITY TESTS WERE FOUND TO BE WITHIN SPECIFICATION. AS A SAMPLE WAS UNAVAILABLE FOR RETURN, A THOROUGH SAMPLE INVESTIGATION COULD NOT BE COMPLETED. BASED ON THE INVESTIGATION RESULTS, AN EXACT CAUSE FOR THIS INCIDENT COULD NOT BE IDENTIFIED.

Additional Manufacturer Narrative · 0

CORRECTION: E/F CODES UPDATED.

Additional Manufacturer Narrative · 0

THE COMPLAINT OF DIFFICULT NEEDLE RETRACTION COULD NOT BE CONFIRMED; HOWEVER, THE REPORTED BLOOD SPLATTER WAS CONFIRMED AND THE ROOT CAUSE COULD NOT BE DETERMINED. ONE SHIELDED NEEDLE FROM AN 18G INSYTE AUTOGUARD BLOOD CONTROL DEVICE WAS RETURNED FOR INVESTIGATION. WHAT APPEARED TO BE DRY BLOOD RESIDUE WAS OBSERVED WITHIN THE GRIP AND BARREL OF THE SAFETY SHIELD, WHICH SUPPORTS THE COMPLAINTS DESCRIPTION OF BLOOD SPLATTER. THIS TYPE OF EVENT CAN OCCUR IF THE NEEDLE GETS CAUGHT ON THE BLOOD CONTROL VALVE, WHICH CAN HOLD THE VALVE OPEN AND ALLOW BLOOD TO LEAK THROUGH THE VALVE; HOWEVER, SINCE THE IV CATHETER WAS NOT RETURNED FOR INVESTIGATION, THE ROOT CAUSE COULD NOT BE DETERMINED. A REVIEW OF THE INSPECTION RECORDS AND QUALITY/MANUFACTURING CONTROLS FOR THE IMPLICATED LOT INDICATED NO RELATED ISSUES WITH THE MANUFACTURING PROCESS. THE COMPLAINT HAS BEEN DOCUMENTED AND WILL CONTINUE TO BE MONITORED AS PART OF ONGOING EFFORTS TO IDENTIFY POTENTIAL MANUFACTURING RELATED ISSUES. A REVIEW OF OUR RISK MANAGEMENT DOCUMENTATION WAS PERFORMED AND INDICATES THAT THE POTENTIAL RISK OF THE REPORTED EVENT WAS ASSESSED APPROPRIATELY.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD IAG BC PRO GLOBAL NEEDLE RETRACTED SLOWLY. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM FRENCH TO ENGLISH: INCIDENT INFORMATION: DATE OF OCCURRENCE: (B)(6)2024 INCIDENT. DESCRIPTION: THE RETRACTION SYSTEM DID NOT WORK ON 2 CATHETERS AND WORKED WITH DIFFICULTY ON A 3RD CATHETER (WITH BLOOD SPLATTER) FOR REFERENCE: (B)(6), LOT: 4152470. WE KEPT THE 3RD CATHETER (BUT IT WAS SOILED WITH BLOOD). PATIENT INFORMATION: PATIENT'S CURRENT CONDITION: (B)(6). ACTIONS TAKEN IN THE CARE FACILITY TO MANAGE THE PATIENT: (B)(6).

Description of Event or Problem · 0

ADDITIONAL INFORMATION RECEIVED ON 12DEC24 1. WAS THE DEVICE BEING USED IN/ON PATIENT WHEN THE ISSUE OCCURRED? ="YES" 2. WAS PATIENT OR USER HARMED? IF YES, PLEASE EXPLAIN ="NO CONSEQUENCES, BUT THERE WAS A RISK OF A BLOOD EXPOSURE ACCIDENT." 3. WAS THE HCP PRESENT WHEN THE ISSUE OCCURRED? ="NO" 4. WAS ADDITIONAL MEDICAL INTERVENTION/MEDICATION REQUIRED? IF YES, PLEASE EXPLAIN ="NO" COULD YOU PLEASE SPECIFY THE DATE OF THE EVENT? "25/10/2024" 5. HAS THERE BEEN ANY HEALTHCARE WORKER¿S EXPOSURE TO BLOOD OR BODILY FLUIDS? 6. HAS THERE BEEN ANY ISSUE WITH SAFETY FEATURE? (RETRACTION FAILURES, SHIELDING FAILURES, SAFETY FEATURE FAILED TO COVER THE NEEDLE PROPERLY. INDICATE WHETHER THE FEATURE FAILED PRIOR TO USE OR DURING USE). 7. HAVE ANY OTHER ACTIONS BEEN TAKEN? ="INFORM NURSING STAFF + DEPARTMENT MANAGER. ADDITIONAL INFORMATION: EXPERIENCED NURSES" AS YOU HAVE MENTIONED THAT "THE RETRACTION SYSTEM DID NOT WORK ON 2 CATHETERS", PLEASE ANSWER THE BELOW QUESTIONS WITH REFERENCE TO THESE 2 CATHETERS. 8. CAN YOU CONFIRM WHETHER SAMPLES ARE AVAILABLE FOR THE SURVEY? IF YES, PLEASE SPECIFY IF SAMPLES ARE ="YES" UNUSED (BEFORE USE) USED (DURING OR AFTER USE) ="USED (DURING)" IMPORTANT: IF USED, PLEASE CONFIRM WHETHER THE SAMPLES ARE CONTAMINATED WITH BLOOD OR CYTOTOXIC DRUGS. ="YES, PRESENCE OF THIS BLOOD." AS YOU HAVE MENTIONED THAT "AND WORKED WITH DIFFICULTY ON A 3RD CATHETER (WITH BLOOD SPLATTER)", PLEASE ANSWER THE BELOW QUESTIONS WITH REFERENCE TO THIS 3RD CATHETER. 9. CAN YOU CONFIRM WHETHER SAMPLES ARE AVAILABLE FOR THE SURVEY? IF YES, PLEASE SPECIFY IF SAMPLES ARE ="NO" UNUSED (BEFORE USE) USED (DURING OR AFTER USE) IMPORTANT: IF USED, PLEASE CONFIRM WHETHER THE SAMPLES ARE CONTAMINATED WITH BLOOD OR CYTOTOXIC DRUGS. 10. IF YOU HAVE RETAINED A SAMPLE FOR INVESTIGATION, PLEASE PROVIDE US WITH THE COLLECTION ADDRESS (FULL DETAILS - PLEASE USE THE TEMPLATE BELOW). TO ENSURE EASY COLLECTION, WE STRONGLY RECOMMEND THAT YOU INDICATE AN EASILY ACCESSIBLE LOCATION, SUCH AS THE HOSPITAL PHARMACY, YOUR GOODS-IN/OUT DEPARTMENT, MAILROOM OR MAIN RECEPTION. THE ADDRESS SHOULD NOT BE INSIDE THE HOSPITAL UNIT (MATERNITY, ONCOLOGY, ETC.). A. COMPANY : "AGENCE GENERALE DES EQUIPEMENTS ET PRODUCTS DE SANTE (AGEPS)" B. COLLECTION POINT: (PHARMACY/INPUT/OUTPUT DEPARTMENT/MAIL ROOM/RECEPTION) = "SERVICE APPROVISIONNEMENT ET DISTRIBUTION (SAD)- CTR RECEPTION DOCK" (B)(6) G. COUNTRY: "FRANCE." 11. PLEASE ALSO PROVIDE US WITH THE TELEPHONE NUMBER OF A PERSON WHO CAN BE CONTACTED BY THE CARRIER. A. NAME OF CONTACT PERSON: "(B)(6)." B. TELEPHONE NUMBER: (B)(6). C. E-MAIL ADDRESS: (B)(6). "PLEASE GIVE THE CARRIER THE FOLLOWING RETURN NUMBER: (B)(6), WHICH MUST BE QUOTED AT THE TIME OF COLLECTION." 12. AN EMPTY SHIPPING BOX COMPLYING WITH REGULATIONS, ACCOMPANIED BY THE NECESSARY ACCESSORIES, WILL BE DELIVERED TO THE SAME ADDRESS. WE WILL ARRANGE FOR OUR CARRIER TO COLLECT THE SAMPLE.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2053779 BD IAG BC PRO GLOBAL PERIPHERAL IV CATHETERS FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. 4152470 00382903810444

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown