FDA Adverse Event Malfunction Summary report: N

BD MINIDRAW¿ FINGER SLEEVE, EXTRA-LARGE

MDR report key: 20884740 · Received December 9, 2024

Report

Report Number
2243072-2024-01209
Event Type
Malfunction
Date Received
December 9, 2024
Date of Event
November 18, 2024
Report Date
August 15, 2025
Manufacturer
BECTON DICKINSON
Product Code
GIM
UDI-DI
50382903666169
PMA / PMN Number
K230391
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D2B. MEDICAL DEVICE TYPE: THERE WERE MULTIPLE MEDICAL DEVICE TYPES REPORTED TO BE INVOLVED. THE INFORMATION FOR THE ADDITIONAL DEVICE TYPE IS AS FOLLOWS: JKA. THERE WERE MULTIPLE 510K NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION FOR THE ADDITIONAL 510K IS AS FOLLOWS: G4. PMA / 510(K)#: K230493. A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY BD HAD NOT RECEIVED SAMPLES OR PHOTOS FOR INVESTIGATION. THEREFORE, 32 RETENTION SAMPLES FROM BD INVENTORY WERE EVALUATED BY FUNCTIONAL TESTING AND 1380 BY VISUAL INSPECTION. NO ISSUES WERE OBSERVED AS ALL SAMPLES MET SPECIFICATIONS. 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 IS UNABLE TO BE CONFIRMED FOR THE INDICATED FAILURE MODE SAMPLE LEAKAGE. BD WAS NOT ABLE TO IDENTIFY A ROOT CAUSE FOR THE INDICATED 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 WHEN USING THE BD MINIDRAW¿ FINGER SLEEVE, EXTRA-LARGE THERE WAS SAMPLE LEAKING FROM AN UNSPECIFIED NUMBER OF DEVICES. THERE WERE NO HEALTH CONSEQUENCES OR IMPACTS REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED WHEN USING THE BD MINIDRAW¿ FINGER SLEEVE, EXTRA-LARGE THERE WAS SAMPLE LEAKING FROM AN UNSPECIFIED NUMBER OF DEVICES. THERE WERE NO HEALTH CONSEQUENCES OR IMPACTS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2502323 BD MINIDRAW¿ FINGER SLEEVE, EXTRA-LARGE CAPILLARY BLOOD COLLECTION FUNNEL GIM BECTON DICKINSON 3233001 50382903666169

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown