FDA Adverse Event
Malfunction
Summary report: N
BD SMARTSITE BAG ACCESS DEVICE
MDR report key: 21676683
·
Received March 24, 2025
Report
- Report Number
- MW5168009
- Event Type
- Malfunction
- Date Received
- March 24, 2025
- Date of Event
- March 17, 2025
- Report Date
- March 18, 2025
- Manufacturer
- BD SWITZERLAND SARL
- Product Code
- LHI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- KS, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
SEVERAL SYRINGES FOUND WITH MISSING OR PARTIAL MARKINGS. BD 50ML SYRINGE #3 LOT:5017162, EXP:12/31/2029; BD 10ML SYRINGE #1 LOT: 5022493, EXP: 12/31/29. BD SMARTSITE BAG ACCESS DEVICE PORT BREAKS OFF WHILE ATTACHING SYRINGE. #2 LOT: 24045736, EXP: 04/26/27, 0 DEFECTED PRODUCTS WERE USED FOR PATIENT CARE. ALL DEFECTED ITEMS WERE DISPOSED OF IN THE MOMENT. NO PATIENTS AFFECTED. REFERENCE REPORTS: MW5168010, MW5168011.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2099987 | BD SMARTSITE BAG ACCESS DEVICE | SET, I.V. FLUID TRANSFER | LHI | BD SWITZERLAND SARL | 24045736 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | BD 10ML SYRINGE| BD 50ML SYRINGE |