FDA Adverse Event Malfunction Summary report: N

BD SYRINGE 1ML LL BNS

MDR report key: 21649226 · Received March 19, 2025

Report

Report Number
1213809-2025-00211
Event Type
Malfunction
Date Received
March 19, 2025
Date of Event
March 6, 2025
Report Date
June 12, 2025
Manufacturer
BECTON DICKINSON MEDICAL SYSTEMS
Product Code
FMF
UDI-DI
50382903096485
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4) - SUPPLEMENTAL MDR - FOREIGN MATTER. ONE PHOTO WAS PROVIDED TO OUR QUALITY TEAM FOR INVESTIGATION. THE PHOTO SHOWS TWO LOOSE SYRINGES WITH BROWN DISCOLORATION ON THE BARREL CONSISTENT WITH EMBEDDED FOREIGN MATTER. THE CONDITION OBSERVED IS NON-CONFORMING PER PRODUCT SPECIFICATION. POTENTIAL ROOT CAUSE FOR THE EMBEDDED FOREIGN MATTER DEFECT IS ASSOCIATED WITH THE MOLDING PROCESS. THE EMBEDDED FOREIGN MATTER IS MOST LIKELY DEGRADED PLASTIC. THIS OCCURS WHEN THE RESIN IS EXPOSED TO PROLONGED HIGH TEMPERATURES INSIDE THE MOLDING MACHINE, SUCH AS DURING START-UP. THIS TYPE OF DEFECT IS COSMETIC AND DOES NOT POSE A RISK TO THE CUSTOMER. FURTHERMORE, A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED LOT NUMBER 4243174. A REVIEW SHOWED NO REJECTED INSPECTIONS OR QUALITY ISSUES DURING THE PRODUCTION THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. INFORMATION WILL BE CAPTURED ON TREND REPORTS AND MONITORED MONTHLY. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Additional Manufacturer Narrative · 0

(B)(4). SUPPLEMENTAL MDR - FOREIGN MATTER. SIX SAMPLES AND ONE PHOTO WERE PROVIDED TO OUR QUALITY TEAM FOR INVESTIGATION. THE PHOTO SHOWS TWO LOOSE SYRINGES WITH BROWN DISCOLORATION ON THE BARREL CONSISTENT WITH EMBEDDED FOREIGN MATTER. ALL SIX SYRINGES WERE RECEIVED LOOSE; FOUR WERE FOUND TO BE FREE OF DEFECTS, WHILE TWO EXHIBITED THE BROWN DISCOLORATION AS DESCRIBED. THE OBSERVED CONDITION IS NON-CONFORMING PER PRODUCT SPECIFICATIONS. POTENTIAL ROOT CAUSE FOR THE EMBEDDED FOREIGN MATTER DEFECT IS ASSOCIATED WITH THE MOLDING PROCESS. THE EMBEDDED FOREIGN MATTER IS MOST LIKELY DEGRADED PLASTIC. THIS OCCURS WHEN THE RESIN IS EXPOSED TO PROLONGED HIGH TEMPERATURES INSIDE THE MOLDING MACHINE, SUCH AS DURING START-UP. THIS TYPE OF DEFECT IS COSMETIC AND DOES NOT POSE A RISK TO THE CUSTOMER. FURTHERMORE, A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED LOT NUMBER 4243174. A REVIEW SHOWED NO REJECTED INSPECTIONS OR QUALITY ISSUES DURING THE PRODUCTION THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT. WE APPRECIATE YOU TAKING THE TIME TO BRING THIS OBSERVATION TO OUR ATTENTION. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. INFORMATION WILL BE CAPTURED ON TREND REPORTS AND MONITORED MONTHLY. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Additional Manufacturer Narrative · 0

B.3. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. H.3. IF A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS COMPLETED, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION WAS PROVIDED.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION WAS PROVIDED.

Description of Event or Problem · 0

MATERIAL #306584 LOT #UNKNOWN. IT WAS REPORTED THAT THE BD SYRINGE 1ML LL BNS HAD FOREIGN MATTER. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: IT WAS REPORTED BY CUSTOMER THAT DIRTY PARTS. RCC RECEIVED A COMPLAINT VIA EMAIL. PART NUMBER C3301, LOT NUMBER(S) 302452 & 306584, ISSUE DESCRIPTION DIRTY PARTS. ARE SAMPLES AVAILABLE FOR EVALUATION IF NEEDED? YES APPLICATION IS THIS THE FIRST TIME YOU ARE USING THIS PRODUCT IN YOUR APPLICATION? NO WAS THE ISSUE OBSERVED DURING INCOMING INSPECTION/BEFORE USE? YES IF THE ISSUE WAS OBSERVED DURING USE, WHAT CHEMICALS/FLUID WAS THE PART WAS EXPOSED TO? NOTES: SDS MUST BE PROVIDED WITH THE SAMPLES THE PART BEING RETURNED MUST BE APPROPRIATELY DECONTAMINATED BEFORE BEING RETURNED TO US. WHAT STERILIZATION METHOD WAS THE PART EXPOSED TO? NONE WHAT TEMPERATURE WAS THE PART EXPOSED TO? NONE WHAT PRESSURE WAS THE PART EXPOSED TO? NONE QOSINA LOT 302452 = VENDOR LOT 4135962 QOSINA LOT 306584 = VENDOR LOT 4243174 WE ARE CURRENTLY CHECKING OUR STOCK. PLEASE LET ME KNOW IF YOU NEED SAMPLES OR IF THE IMAGES BELOW AND PROVIDED CASE DETAILS SUFFICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1372732 BD SYRINGE 1ML LL BNS PISTON SYRINGE FMF BECTON DICKINSON MEDICAL SYSTEMS 4243174 50382903096485

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown