FDA Adverse Event Malfunction Summary report: N

BD DISCARDIT¿ II SYRINGE

MDR report key: 7749611 · Received August 3, 2018

Report

Report Number
3002682307-2018-00192
Event Type
Malfunction
Date Received
August 3, 2018
Date of Event
July 11, 2018
Report Date
August 15, 2018
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMF
PMA / PMN Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

WE HAVE REVIEWED OUR PRODUCTION AND INSPECTION RECORDS AND HAVE ESTABLISHED THAT ALL PRODUCTION AND QUALITY PROCESSES WERE CARRIED OUT NORMALLY. NEITHER QN NOR NCMR'S. SYRINGES WERE PACKED IN MACHINE Nº2026 (FEBRUARY 6TH - 9TH, 2018). SYRINGES WERE ASSEMBLED IN MACHINE, Nº4239, Nº4238, Nº4214, Nº4206, AND Nº4201, IN LOT #8029656 (JANUARY 29TH ¿ FEBRUARY 5TH, 2018) AND IN LOT #8036710 (FEBRUARY 5TH ¿ 12TH, 2018). RESEARCH HAS FOUND NO PROBLEMS, DEFECTS OR QN RELATED TO THE REPORTED ISSUE. WE HAVE ALSO REVIEWED THE BARREL LOTS #8037755, #8030574, #8022717, AND NO PROBLEMS, DEFECTS OR QN RELATED TO THE REPORTED ISSUE WERE FOUND. WE HAVE ALSO REVIEWED THE PLUNGER LOTS #8037762, #8030578, #8022721, #8015642, #7354661 AND NO PROBLEMS, DEFECTS OR QN RELATED TO THE REPORTED ISSUE WERE FOUND. BASED ON THE CUSTOMER FEEDBACK OF THE ISSUE, BD CONCLUDES THAT THE CAUSE OF THE PROBLEM COULD BE PRODUCED AS A CONSEQUENCE OF A DAMAGE IN THE PLUNGER LIP. THIS COULD BE PRODUCED DURING THE HANDLING OF THE PRODUCT THROUGH THE MANUFACTURING PROCESS OR IN THE PLUNGER ASSEMBLY MACHINE. NOT ABLE TO DETERMINE. DAMAGE IN THE PLUNGER LIP PRODUCED DURING THE HANDLING OF THE PRODUCT THROUGH THE MANUFACTURING PROCESS OR IN THE PLUNGER ASSEMBLY MACHINE. WE CAN ENSURE THAT THE PROBABILITY OF FINDING THIS KIND OF DEFECT IS VERY LOW AND ANY RECURRENCE IS REALLY UNLIKELY IN OUR PRODUCTS SINCE REVIEW SYRINGE DHR SHOWED NO INDICATION OF THE ALLEGED DEFECT, CONSIDERING OUR IN-COMING AND IN-PROCESS INSPECTION AND SINCE THIS IS THE FIRST TIME THIS LOT IS REPORTED FOR THIS DEFECT, NO ACTIONS ARE REQUIRED.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: A SAMPLE WAS PROVIDED FOR EVALUATION. CORRECTION: DUE TO AN IT ISSUE BEGINNING ON 7/3/2018, PREVIOUSLY FILED EMDRS DID NOT CONTAIN REQUIRED FIELDS. THIS SUPPLEMENTAL EMDR IS FILED TO PROVIDE THE FOLLOWING OMITTED FIELDS: EVENT ATTRIBUTED TO: OTHER. DEVICE SINGLE USE?: NO. DEVICE RETURNED TO MANUFACTURER: YES. INVESTIGATION SUMMARY: BD HAS BEEN PROVIDED WITH THE AFFECTED SAMPLE. A LEAKAGE THROUGH THE PLUNGER ROD WAS OBSERVED IN TWO OF THESE PROVIDED SAMPLES. AFTER THAT BD COULD DETERMINE A DAMAGE IN THE PLUNGER ROD BY THE EVALUATION OF THE PLUNGER WITH MAGNIFICATION. BD COULD CONFIRM THE REPORTED ISSUE. AFTER THE EVALUATION OF THE RECEIVED SAMPLE, BD CONCLUDES THAT THE CAUSE OF THE PROBLEM WAS PRODUCED AS A CONSEQUENCE OF A DAMAGE IN THE PLUNGER LIP. THIS COULD BE PRODUCED DURING THE HANDLING OF THE PRODUCT THROUGH THE MANUFACTURING PROCESS OR IN THE PLUNGER ASSEMBLY MACHINE.

Description of Event or Problem · 0

IT WAS REPORTED THAT A BD DISCARDIT¿ II SYRINGE CONTAINED AIR BUBBLES. NO REPORT OF SERIOUS INJURY OR MEDICAL INTERVENTION.

Description of Event or Problem · 0

IT WAS REPORTED THAT A BD DISCARDIT¿ II SYRINGE CONTAINED AIR BUBBLES. NO REPORT OF SERIOUS INJURY OR MEDICAL INTERVENTION.

Additional Manufacturer Narrative · 1

(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 A BD DISCARDIT¿ II SYRINGE CONTAINED AIR BUBBLES. NO REPORT OF SERIOUS INJURY OR MEDICAL INTERVENTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
589731 BD DISCARDIT¿ II SYRINGE SYRINGE FMF BECTON DICKINSON, S.A. 1802149

Patients

Seq Age Sex Outcome Treatment
1 Other