BD INTIMA-II 24GAX0.75IN PRN SLM
Report
- Report Number
- 3006948883-2025-00952
- Event Type
- Malfunction
- Date Received
- December 17, 2025
- Date of Event
- October 15, 2025
- Report Date
- February 28, 2026
- Manufacturer
- BD SUZHOU (MDS)
- Product Code
- FOZ
- PMA / PMN Number
- UNK
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
1.DHR/BHR REVIEW (LOT#5048530): 1) THE PRODUCTS OF THIS BATCH WERE ASSEMBLED AT INTIMA II AUTO LINE 2 IN MAR 2025 AND PACKAGED AT R240 PACKAGE LINE IN MAR 2025. WORK ORDER QUANTITY WAS (B)(4) PCS. 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. 4) THE CANNULA BATCH USED IN THIS BATCH OF PRODUCTS ARE 5023497, 5017769 AND 4328543. REVIEW THE RAW MATERIAL INSPECTION RECORDS, NO ABNORMALITIES. 2. THE CUSTOMER RETURNED ONE PHOTO AND DID NOT RETURN THE DEFECTIVE SAMPLE. THE PHOTO SHOWS THAT THE HEPARIN CAP RUBBER STOPPER OF THE SAMPLE IS DAMAGED. 3. SAMPLE FROM THIS BATCH WAS TAKEN FOR VISUAL INSPECTION, AND NO DAMAGE OR OTHER ABNORMALITIES WERE FOUND ON THE HEPARIN CAPS. TAKEN FOR THE PULL FORCE TEST OF THE PRN (I.E. TEST THE SEPARATION FORCE BETWEEN THE SLEEVE STOPPER AND THE BOTTOM HOUSING) AND 45PSI LEAKAGE TEST ON THE SAMPLE, AND THE TEST RESULTS ARE WITHIN THE PRODUCT SPECIFICATIONS. 4. POSSIBLE FACTORS CAUSING DAMAGE TO LATEX STOPPERS: 1) RAW MATERIAL FACTORS (AGING OF HEPARIN CAP MATERIALS, POOR ELASTICITY OF THE LATEX STOPPER). 2) EXCESSIVELY HIGH TEMPERATURE OR HUMIDITY IN PRODUCT STORAGE ENVIRONMENTS CAN ACCELERATE THE AGING OR DAMAGE OF THE LATEX STOPPER. 3) IMPROPER NEEDLE ANGLE DURING PUNCTURE; IF THE NEEDLE DOES NOT ENTER THE CENTER OF THE LATEX STOPPER AND PUNCTURES IT AT AN ANGLE, IT CAN CAUSE DAMAGE TO THE LATEX STOPPER. 5. NO SIMILAR COMPLAINTS HAVE BEEN RECEIVED FROM OTHER HOSPITALS REGARDING THIS BATCH OF PRODUCTS. CONCLUSION(S): NO ABNORMALITY IS FOUND ON PRODUCTION PROCESS, AND NO SIMILAR COMPLAINTS HAVE BEEN RECEIVED FROM OTHER HOSPITALS REGARDING THIS BATCH OF PRODUCTS.THE RETURNED PHOTO SHOWS DAMAGE TO THE LATEX STOPPER OF THE PRN,BUT AS NO OBVIOUS PRN ASSEMBLY ISSUE CAN BE IDENTIFIED FROM THE PHOTOS,AND THE DEFECTIVE SAMPLE WAS NOT RETURNED, THE RELEVANT TESTS COULD NOT BE CONDUCTED,SO THE ROOT CAUSE OF THIS DEFECT CANNOT BE DETERMINED. THE PLANT WILL CONTINUE TO PAY ATTENTION TO AND MONITOR SUCH DEFECTS.
H.3. IF A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS COMPLETED, A SUPPLEMENTAL REPORT WILL BE FILED.
NO ADDITIONAL INFORMATION AVAILABLE.
IT WAS REPORTED THAT BD INTIMA-II 24GAX0.75IN PRN SLM NPVC ADAPTER / CONNECTOR DEFECTIVE / DAMAGED. DURING INTRAVENOUS INFUSION FOR PATIENT 52, THE HEPARIN CAP ON THE INDWELLING NEEDLE WAS FOUND TO BE FRACTURED WHILE DISINFECTING IT. THE CAP WAS PROMPTLY REPLACED WITH A NEW CLOSED-SYSTEM INDWELLING VENOUS CATHETER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2181687 | BD INTIMA-II 24GAX0.75IN PRN SLM | INTRAVASCULAR CATHETER | FOZ | BD SUZHOU (MDS) | 5048530 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |