FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® ECLIPSE¿ SIGNAL¿ BLOOD COLLECTION NEEDLE WITH INTEGRATED HOLDER

MDR report key: 20871968 · Received December 6, 2024

Report

Report Number
9617032-2024-01900
Event Type
Malfunction
Date Received
December 6, 2024
Date of Event
November 11, 2024
Report Date
December 9, 2024
Manufacturer
BECTON, DICKINSON AND COMPANY (BD)
Product Code
FMI
UDI-DI
30382903688358
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FI
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: D9: DEVICE AVAILABLE FOR EVALUATION: YES. H.3 DEVICE EVAL BY MANUFACTURER? YES. D9: RETURNED TO MANUFACTURER ON: 05-DEC-2024. INVESTIGATION SUMMARY: MATERIAL #: 368835. LOT/BATCH #: 4242686. BD RECEIVED 18 SAMPLES AND 1 PHOTO FOR INVESTIGATION. THE PHOTO WAS REVIEWED AND THE CUSTOMER¿S INDICATED FAILURE MODE FOR SLEEVE LEAKAGE WAS OBSERVED. THE CUSTOMER SAMPLES WERE EVALUATED BY VISUAL EXAMINATION AND THE INDICATED FAILURE MODE FOR MISSING SLEEVE WITH THE INCIDENT LOT WAS OBSERVED IN 7 OF THE SAMPLES. THE OTHER 11 SAMPLES WERE EVALUATED BY FUNCTIONAL DRAW TESTING AND THE FAILURE MODE OF SLEEVE LEAKAGE WAS NOT OBSERVED. ADDITIONALLY, 150 RETENTION SAMPLES FROM BD INVENTORY WERE EVALUATED BY VISUAL EXAMINATION AND THE ISSUE OF MISSING SLEEVE WAS OBSERVED IN 30 RETENTION SAMPLES. TEN (10) ADDITIONAL RETENTION SAMPLES WERE EVALUATED BY FUNCTIONAL DRAW TESTING AND THE FAILURE MODE OF SLEEVE LEAKAGE WAS NOT OBSERVED. BASED ON A REVIEW OF THE DEVICE HISTORY RECORD FOR THE INCIDENT LOT, ALL PRODUCT SPECIFICATIONS AND REQUIREMENTS FOR LOT RELEASE WERE MET. THERE WERE NO RELATED QUALITY ISSUES DURING MANUFACTURING OF THE PRODUCT. THIS COMPLAINT HAS BEEN CONFIRMED FOR THE INDICATED FAILURE MODES MISSING SLEEVE AND SLEEVE LEAKAGE. BD DETERMINED THAT THE ROOT CAUSE OF THE MISSING SLEEVE FAILURE MODE WAS ATTRIBUTED TO OPERATOR ERROR IN THE LINE PURGING PROCESS. A QUALITY ALERT WAS CIRCULATED WITH ALL FACULTY INVOLVED TO ENSURE PROPER LINE CLEARANCE. BD WAS NOT ABLE TO IDENTIFY A ROOT CAUSE FOR THE SLEEVE LEAKAGE FAILURE MODE. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED WHILE USING A BD VACUTAINER® ECLIPSE¿ SIGNAL¿ BLOOD COLLECTION NEEDLE WITH INTEGRATED HOLDER BLOOD LEAKED FROM THE NON-PATIENT END OF THE DEVICE. SOME DEVICES WERE ALSO FOUND WITHOUT THE SLEEVE COVERING THE NON-PATIENT CANNULA. THIS OCCURRED WITH FIVE (5) DEVICES. THERE WAS NO REPORT OF ADVERSE IMPACT TO PATIENTS OR USERS.

Description of Event or Problem · 0

IT WAS REPORTED WHILE USING A BD VACUTAINER® ECLIPSE¿ SIGNAL¿ BLOOD COLLECTION NEEDLE WITH INTEGRATED HOLDER BLOOD LEAKED FROM THE NON-PATIENT END OF THE DEVICE. SOME DEVICES WERE ALSO FOUND WITHOUT THE SLEEVE COVERING THE NON-PATIENT CANNULA. THIS OCCURRED WITH FIVE (5) DEVICES. THERE WAS NO REPORT OF ADVERSE IMPACT TO PATIENTS OR USERS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2516285 BD VACUTAINER® ECLIPSE¿ SIGNAL¿ BLOOD COLLECTION NEEDLE WITH INTEGRATED HOLDER BLOOD SPECIMEN COLLECTION DEVICE FMI BECTON, DICKINSON AND COMPANY (BD) 4242686 30382903688358

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown