FDA Adverse Event Malfunction Summary report: N

3003916417-2018-00154

MDR report key: 7646548 · Received June 28, 2018

Report

Report Number
3003916417-2018-00154
Event Type
Malfunction
Date Received
June 28, 2018
Date of Event
June 4, 2018
Report Date
July 27, 2018
PMA / PMN Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: DHR REVIEW: LOT 8046637 WAS MANUFACTURED BETWEEN FEBRUARY 23 TO 26, 2018 AND LOT 8030782 WAS MANUFACTURED BETWEEN FEBRUARY 22 AND 26, 2018. THE MATERIAL WAS MANUALLY PALLETIZED IN LOOPING AND STERILIZATION OF LOT 8046637 OCCURRED ON 02/27 AT 07:51 AM. FOR LOT 8030782 OCCURRED THE PREVIOUS DAY IN CASE (B)(6) 2018 AT 08:32. THE FACT THAT THESE MATERIALS WERE STERILIZED IN DIFFERENT CYCLES RESPECTIVELY 45800 AND 45794 INDICATING THAT THE PREPARATION OF THE LOAD WITH THE BIOLOGICAL INDICATORS OCCURRED AT DIFFERENT TIMES AND DURING THAT OPERATORS INSPECT THE LOAD AT THE END OF THE PREPARATION AND MAKE IT DIFFICULT TO MIX DURING PALLETIZING IN THE SORTER. QN/ MAINTENANCE REVIEW: THERE ARE NO QUALITY NOTIFICATION (QN) RECORDS AND THE PRESENT MAINTENANCE RECORDS DO NOT ALLOW TO CONFIRM DEFECT IN QUESTION AS THE TOTAL QUANTITIES WERE GENERATED ACCORDING TO LP AND AS MENTIONED ABOVE THE MATERIALS WERE PALLETIZED AND STERILIZED AT DIFFERENT TIMES. PHOTO SAMPLES WERE SENT BY THE CUSTOMER FOR ANALYSIS AND IT WAS NOT POSSIBLE CONFIRM THE DEFECT. IT WAS NOT POSSIBLE TO CONFIRM THE FACTORY PRODUCT MIX DEFECT IN VIEW OF THE INVESTIGATION DESCRIPTIONS. ANOTHER FACTOR EVALUATED IS THAT IN THE NUMBER OF THE CONSIGNMENT 6014568405, IT WAS POSSIBLE TO DETECT ONLY LOT 8046637 WITH QUANTITY DELIVERED OF 70 THOUSAND UNITS AND THE TOTAL VOLUME PRODUCED OF THIS LOT WAS 2,320,000 UNITS WHICH INDICATES THAT THERE WAS FRACTIONATION OF THE MATERIAL FOR SALE AND SUCH ACTIVITY IS NOT PART OF THE BD CURITIBA SCOPE. THE ROOT CAUSE FOR THE DEFECT IS RELATED TO FAILURE OF THE MATERIAL SCREENING PROCESS BY THE DHL CARRIER UPON RECEIPT OF THE MATERIAL. CAPA NOT REQUIRED. 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD PRECISIONGLIDE® SYRINGE NEEDLES CAME IN A BOX WITH MIXED PRODUCTS. NO REPORT OF SERIOUS INJURY OR MEDICAL INTERVENTION.

Additional Manufacturer Narrative · 1

DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. (B)(6). A DEVICE EVALUATION IS ANTICIPATED, BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED THAT BD PRECISIONGLIDE® SYRINGE NEEDLES CAME IN A BOX WITH MIXED PRODUCTS. NO REPORT OF SERIOUS INJURY OR MEDICAL INTERVENTION.

Patients

Seq Age Sex Outcome Treatment
1 Other