FDA Adverse Event Malfunction Summary report: N

BD MICROLANCE¿ NEEDLE

MDR report key: 8079584 · Received November 16, 2018

Report

Report Number
3002682307-2018-00292
Event Type
Malfunction
Date Received
November 16, 2018
Date of Event
October 23, 2018
Report Date
December 3, 2018
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMF
UDI-DI
00382903008025
PMA / PMN Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: DHR- ALL THE PRODUCTION AND INSPECTION RECORDS AND HAVE ESTABLISHED THAT ALL PRODUCTION AND QUALITY PROCESSES WERE CARRIED OUT NORMALLY. NEITHER QN NOR NCMR'S WERE FOUND. NEEDLES WERE ASSEMBLED IN MACHINE 4413 (JULY 15-22ND, 2018) DURING WHICH 288 VISUAL INSPECTIONS WERE CARRIED OUT WITH ZERO DEFECT NOTED. PROVIDED PICTURE SHOW INNER PLASTIC BAG LABEL A DIFFERENT BATCH NUMBER (8192814) AS DELIVERY NOTE (AND ALSO SHIPPING BOX LABEL/CARTON STICKER) (8197788) AS EXPECTED, BECAUSE IT IS DIFFERENT REFERENCE AS WELL: INNER MATERIAL 3002112FRA, AND FINAL MATERIAL 300802. THE REPORTED FAILURE MODE DOES NOT CORRESPOND TO ANY QUALITY ISSUE EVEN LABELLING ERROR IN THE PRODUCT: THE BATCH NUMBER (8192814) AND PRODUCT REFERENCE IS LOCATED ONLY IN THE LABELLING OF THE EXTERNAL PACKAGE (SHIPPING CASE). THE LABEL LOCATED IN THE INNER BAG (PLASTIC BAG CONTAINING THE NEEDLES) CORRESPONDS TO ASSEMBLED NEEDLES (8192814), THIS IS MAINTAINED FOR A TRACEABILITY PURPOSE. THIS IS A DIFFERENT BATCH, BECAUSE THIS IS ALSO A DIFFERENT REFERENCE (ASSEMBLED VS FINAL PRODUCT). BOTH MATERIALS AND BATCHES (FINAL PRODUCT IN BULK AND ASSEMBLED PRODUCT) ARE LINKED WITHIN THE BHR AND PERMIT US TO HAVE A FULL TRACEABILITY FOR THE PRODUCT FROM RAW MATERIALS TO FINAL PRODUCT. IT IS IMPORTANT TO TAKE INTO CONSIDERATION THAT ALL BULK PRODUCT WILL SHOW THIS IDENTIFICATION (ASSEMBLY BATCH NUMBER IN INNER BAG WILL BE ALWAYS DIFFERENT FROM THE SAP CERTIFICATE, PO OR DELIVERY NOTE AND SHIPPING BOX LABEL LOT NUMBER) AND SHOULD NOT BE CONSIDERED AS A DEFECT NEITHER A COMPLAINT. IN ADDITION, BD HAS BEEN USING THIS PRODUCT IDENTIFICATION FOR MANY YEARS AND THIS IS A STANDARD REFERENCE FOR MULTIPLE CUSTOMERS.

Description of Event or Problem · 0

IT WAS REPORTED THAT A BD MICROLANCE¿ NEEDLE HAD DIFFERENT BATCH LABELING BETWEEN THE DELIVERY NOTE AND CARTON STICKER. THERE WAS NO REPORT OF EXPOSURE, SERIOUS INJURY, OR MEDICAL INTERVENTION.

Additional Manufacturer Narrative · 1

DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. THERE WERE MULTIPLE LOT NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION FOR EACH LOT NUMBER IS AS FOLLOWS: MEDICAL DEVICE LOT #: 8192814, MEDICAL DEVICE EXPIRATION DATE: 06/25/2023, DEVICE MANUFACTURE DATE: 07/11/2018. MEDICAL DEVICE LOT #: 8197788, MEDICAL DEVICE EXPIRATION DATE: 06/30/2023, DEVICE MANUFACTURE DATE: 07/16/2018. 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 MICROLANCE¿ NEEDLE HAD DIFFERENT BATCH LABELING BETWEEN THE DELIVERY NOTE AND CARTON STICKER. THERE WAS NO REPORT OF EXPOSURE, SERIOUS INJURY, OR MEDICAL INTERVENTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
921324 BD MICROLANCE¿ NEEDLE NEEDLE FMF BECTON DICKINSON, S.A. SEE H.10 00382903008025

Patients

Seq Age Sex Outcome Treatment
1 Other