FDA Adverse Event Malfunction Summary report: N

BD INTIMA-II Y 20GAX1.16IN PRN/EC SLM

MDR report key: 21884018 · Received April 22, 2025

Report

Report Number
3006948883-2025-00091
Event Type
Malfunction
Date Received
April 22, 2025
Date of Event
February 13, 2025
Report Date
June 13, 2025
Manufacturer
BD SUZHOU (MDS)
Product Code
FOZ
UDI-DI
00382903830121
PMA / PMN Number
UNK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H.3. IF A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS COMPLETED, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

1. NO DEFECTIVE SAMPLE AND PHOTO HAVE BEEN RECEIVED FOR THE COMPLAINT. 2. DHR/BHR REVIEW (LOT#4233035): 1) THE PRODUCTS OF THIS BATCH WERE ASSEMBLED AT INTIMA II AUTO LINE 4 IN SEP 2024 AND PACKAGED AT CFS PACKAGE LINE IN SEP 2024. WORK ORDER QUANTITY WAS (B)(4) EA. 2) REVIEW THE IN-PROCESS TEST REPORTS AND OUTGOING TEST REPORTS, AND ALL TEST RESULTS MEET THE PRODUCT SPECIFICATIONS. 3) REVIEW THE PRODUCTION RECORDS WITH NO NONCONFORMANCE, DEVIATION OR REWORK ACTIVITIES. 3. THE RETAINED SAMPLE OF THIS BATCH IS TAKEN FOR 45PSI LEAKAGE TEST, THE SAMPLE TEST IS QUALIFIED, NO LEAKAGE IS FOUND. 4. NO SIMILAR COMPLAINTS HAVE BEEN RECEIVED FROM OTHER HOSPITALS REGARDING THIS BATCH OF PRODUCTS. CONCLUSION(S): NO ABNORMALITY IS FOUND ON PROCESS AND RETAINED SAMPLE, AND NO SIMILAR COMPLAINTS HAVE BEEN RECEIVED FROM OTHER HOSPITALS REGARDING THIS BATCH OF PRODUCTS. BECAUSE THE SPECIFIC LEAKAGE SITE AND ABNORMAL STATE OF THE DEFECTIVE SAMPLE CANNOT BE IDENTIFIED, SO THE ROOT CAUSE OF LEAKAGE CANNOT BE DETERMINED. THE PLANT WILL CONTINUE TRACKING THE ISSUE.

Additional Manufacturer Narrative · 0

A PHOTO OF THE AFFECTED UNIT WAS RECEIVED AFTER THE SUBMISSION OF THE MDR SUPPLEMENTAL #1. THIS MDR SUPPLEMENTAL #2 CAPTURES EVALUATION OF THE PHOTO RECEIVED AND THE INVESTIGATION CONCLUSION. INVESTIGATION SUMMARY: 1. THE CUSTOMER RETURNED 1 PHOTO, BUT DID NOT RETURN THE DEFECTIVE SAMPLES. THE PHOTO SHOWED THAT THE GAUGE OF THE SAMPLE WAS 20GA AND BLOOD OOZING FROM THE END OF THE SEPTUM. 2. PRODUCTION RECORD CHECK (LOT#4233035): 1) THIS BATCH OF PRODUCTS WILL BE ASSEMBLED IN JINGMA AUTOMATIC LINE 4 IN SEPTEMBER 2024 AND PACKAGED IN CFS AND R240 PACKAGING LINE IN SEPTEMBER 2024. THE NUMBER OF WORK ORDERS IS 99,000 PIECES. 2) ISOLATED PLUG INCOMING INSPECTION, NO ABNORMAL APPEARANCE AND SIZE, IN LINE WITH THE REQUIREMENTS OF INCOMING INSPECTION SPECIFICATIONS. 3) 400 LEAKAGE TESTS IN PROCESS TESTING AND 32 LEAKAGE TESTS IN SHIPMENT TESTING, THE TEST RESULTS ARE IN LINE WITH PRODUCT STANDARDS. 4) THERE ARE NO NON-CONFORMITIES, DEVIATIONS OR REWORK DURING THE PRODUCTION PROCESS. 5) ISOLATION PLUG ASSEMBLY EQUIPMENT WITHOUT ABNORMAL MAINTENANCE. 3. THE RETAINED SAMPLE OF THIS BATCH IS TAKEN FOR 45PSI LEAKAGE TEST, THE SAMPLE TEST IS QUALIFIED, NO LEAKAGE IS FOUND. CONCLUSION(S): THE RETURNED PHOTO SHOWED BLOOD OOZING FROM THE END OF THE SEPTUM. NO ABNORMALITY IS FOUND ON PROCESS AND RETAINED SAMPLE. BECAUSE NO DEFECTIVE SAMPLE WAS RECEIVED FOR FURTHER TESTING, SO THE ROOT CAUSE OF LEAKAGE CANNOT BE DETERMINED. THE PLANT WILL CONTINUE TRACKING THE ISSUE.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD INTIMA-II Y 20GAX1.16IN PRN/EC SLM LEAKED.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION IS AVAILABLE.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1123957 BD INTIMA-II Y 20GAX1.16IN PRN/EC SLM INTRAVASCULAR CATHETER FOZ BD SUZHOU (MDS) 4233035 00382903830121

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown