FDA Adverse Event Malfunction Summary report: N

NEEDLE 18X1-1/2 BLUNT FILL

MDR report key: 21230555 · Received January 24, 2025

Report

Report Number
1911916-2025-00045
Event Type
Malfunction
Date Received
January 24, 2025
Date of Event
November 21, 2024
Report Date
January 27, 2025
Manufacturer
BECTON DICKINSON
Product Code
GAA
UDI-DI
30382903051800
PMA / PMN Number
K941562
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). FOLLOW UP FOR DEVICE EVALUATION IT WAS REPORTED THERE IS CORING WHEN USING THE BLUNT NEEDLES. TO AID IN THE INVESTIGATION, TWO SAMPLES IN OPENED PACKAGING BLISTERS WERE RECEIVED FOR EVALUATION BY OUR QUALITY TEAM. A VISUAL INSPECTION WAS PERFORMED WITH 30X MAGNIFICATION. THERE WAS NO DAMAGE, DEFECTIVE GRIND OR HOOKS OBSERVED. THE BEVELS AND ETCH WERE GOOD. A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED MATERIAL NUMBER 305180, LOT 4212669. THE REVIEW DID NOT REVEAL ANY DETECTED QUALITY ISSUES DURING THE PRODUCTION OF THIS LOT THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT. THERE WERE NO RELATED QUALITY NOTIFICATIONS. ALL PROCESSES AND FINAL INSPECTIONS COMPLIED WITH SPECIFICATION REQUIREMENTS. BASED ON THE INVESTIGATION AND WITH THE RETURNED SAMPLE ANALYSIS THE SYMPTOM REPORTED BY THE CUSTOMER COULD NOT BE CONFIRMED.

Additional Manufacturer Narrative · 0

INITIAL MDR SUBMISSION. A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION RECEIVED.

Description of Event or Problem · 0

MATERIAL#: 305180 . BATCH#: 4212669 . VERBATIM: RCC RECEIVED A COMPLAINT VIA EMAIL. EMAIL(S) ATTACHED IT WAS REPORTED BY THE CUSTOMER THAT OUR ANAESTHESIA TEAM AND OUR AA ARE FINDING MORE AND MORE WHEN USING THE BLUNT NEEDLES ARE FINDING CORING. THIS IS HAPPENING WITH MANY DRUG VIALS AND IN MANY OF THE SYRINGES WHEN DRAWING UP. SAME ISSUE AT THE SAME TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
555439 NEEDLE 18X1-1/2 BLUNT FILL NEEDLE, ASPIRATION AND INJECTION, DISPOSABLE GAA BECTON DICKINSON 4212669 30382903051800

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown