BD PRECISIONGLIDE¿ NEEDLE
Report
- Report Number
- 1911916-2018-00322
- Event Type
- Malfunction
- Date Received
- June 25, 2018
- Date of Event
- June 5, 2018
- Report Date
- August 22, 2018
- Manufacturer
- BD MEDICAL (BD WEST) MEDICAL SURGICAL
- Product Code
- FMI
- UDI-DI
- 30382903051220
- PMA / PMN Number
- K021475
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER
Narratives
H.6. INVESTIGATION SUMMARY: SINCE NO SAMPLES DISPLAYING THE CONDITION REPORTED ARE AVAILABLE FOR EXAMINATION, WE WERE UNABLE TO FULLY INVESTIGATE THIS INCIDENT. NO NOTIFICATIONS WERE WRITTEN FOR THIS BATCH, NOR FOR THE ASSOCIATED ASSEMBLY BATCH, INCLUDING NO NOTIFICATION WRITTEN FOR THE CANNULA COMPONENT BATCHES EITHER, SPECIFICALLY FOR BENT. ASSEMBLY BATCH 7114954 HAD 88 VISUAL INSPECTIONS PERFORMED ON 4,550 PARTS WITH ZERO DEFECTS NOTED. THE EPOXY DETECTION SYSTEM WAS CHALLENGED 21 TIMES USING 525 PARTS WITH ZERO FAILURES RECORDED. THIRTEEN CANNULA REMOVAL FORCE TESTS WERE PERFORMED ON 65 SAMPLES WITH A MINIMUM REMOVAL FORCE OF 11 LBS., A MAXIMUM REMOVAL FORCE OF 26 LBS., AND AN AVERAGE REMOVAL FORCE OF 19.5 LBS. THE SPECIFICATION LIMIT FOR CANNULA REMOVAL FORCES FOR A 25 GAUGE NEEDLE IS A MINIMUM OF 5.0 LBS. CANNULA BATCHES 7219732, 7221869, 7221877 AND 7229922 WERE ALSO REVIEWED FOR BENT. 25GA IS CHALLENGED FOR REVERSALS (NUMBER OF TIMES TO BEND/BREAK) ON A SKIP LOT BASIS. THE 25GA PRODUCT HAS TO MEET THE ISO REQUIREMENTS AND CANNULA HAS HAD NO REJECTIONS FOR 25GA REVERSALS FOR THE SEVEN YEARS OF DATA STORED. THE SKIP LOT CONTINUES AS LONG AS THERE ARE NOT FAILURES TO THE SPECIFICATIONS. INVESTIGATION CONCLUSION: UNABLE TO DETERMINE A ROOT CAUSE.
IT WAS REPORTED THAT WHEN USING A BD PRECISIONGLIDE¿ NEEDLE ON A CAT, WHEN PULLING OUT THE NEEDLE IT STAYED INSIDE OF THE ANIMAL AND ¿THEY COULDN¿T GET THE NEEDLE OUT¿. THEY DID NOT REPORT ANY MEDICAL INTERVENTION.
A DEVICE EVALUATION IS ANTICIPATED, BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION AND/OR DEVICE HISTORY REVIEW, A SUPPLEMENTAL REPORT WILL BE FILED.
IT WAS REPORTED THAT WHEN USING A BD PRECISIONGLIDE¿ NEEDLE ON A CAT, WHEN PULLING OUT THE NEEDLE IT STAYED INSIDE OF THE ANIMAL AND ¿THEY COULDN¿T GET THE NEEDLE OUT¿. THEY DID NOT REPORT ANY MEDICAL INTERVENTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 475371 | BD PRECISIONGLIDE¿ NEEDLE | NEEDLE | FMI | BD MEDICAL (BD WEST) MEDICAL SURGICAL | 7138961 | 30382903051220 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |