FDA Adverse Event Injury Summary report: N

BD POSIFLUSH¿ XS PRE-FILLED FLUSH SYRINGE NACL 0.9%

MDR report key: 8387158 · Received March 4, 2019

Report

Report Number
9616657-2019-00132
Event Type
Injury
Date Received
March 4, 2019
Date of Event
January 1, 2019
Report Date
March 15, 2019
Manufacturer
BECTON, DICKINSON AND CO.
Product Code
NGT
PMA / PMN Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

H.6. INVESTIGATION SUMMARY: DHR: COMPLAINT TRENDING REVIEW OF THE LOT FOR THIS ISSUE REVEALS THIS IS THE SEVENTH COMPLAINT. THE NON-CONFORMANCES WERE REVIEWED FOR THIS BATCH, AND THERE WAS NO RECORD OF NON-CONFORMANCE WHICH COULD CONTRIBUTE TO THE COMPLAINT VERBATIM REPORTED BY THE CUSTOMER. NO SAMPLE AVAILABLE. CONCLUSION(S): THERE IS NO EVIDENCE THAT POSIFLUSH SYRINGE WAS RESPONSIBLE FOR THIS REACTION. A POTENTIAL CONTRIBUTORY FACTOR MAYBE OTHER MEDICINAL PRODUCTS IN USE OR ADMINISTERED AT THE TIME THE PATIENT¿S PORT WAS FLUSHED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT DEVELOPED "OEDEMA" IN THE ANKLES AFTER THE BD POSIFLUSH¿ XS PRE-FILLED FLUSH SYRINGE NACL 0.9% HAD BEEN USED TO "FLUSH THE LINE BEFORE AND AFTER EACH INFUSION". HOWEVER, THERE WAS NO MEDICAL INTERVENTION REPORTED, AND NO FURTHER INFORMATION REGARDING THE PATIENT'S OUTCOME HAS BEEN RECEIVED. AS REPORTED BY THE CUSTOMER, "DETAILS: REPORT RECEIVED TO ADVISED OEDEMA IDENTIFIED IN PATIENT ANKLES. NO FURTHER INFORMATION OBTAINED ON OUTCOME OF PATIENTS' CONDITION. PRODUCT: 306572 PFS 0.9%P/FLUSH XS SALINE 10ML ST - USE TO FLUSH LINE BEFORE AND AFTER EACH INFUSION. BATCH:8242797".

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 THE PATIENT DEVELOPED "OEDEMA" IN THE ANKLES AFTER THE BD POSIFLUSH¿ XS PRE-FILLED FLUSH SYRINGE NACL 0.9% HAD BEEN USED TO "FLUSH THE LINE BEFORE AND AFTER EACH INFUSION". HOWEVER, THERE WAS NO MEDICAL INTERVENTION REPORTED, AND NO FURTHER INFORMATION REGARDING THE PATIENT'S OUTCOME HAS BEEN RECEIVED. AS REPORTED BY THE CUSTOMER, "DETAILS: REPORT RECEIVED TO ADVISED OEDEMA IDENTIFIED IN PATIENT ANKLES. NO FURTHER INFORMATION OBTAINED ON OUTCOME OF PATIENTS' CONDITION. PRODUCT - 306572 PFS 0.9%P/FLUSH XS SALINE 10ML ST - USE TO FLUSH LINE BEFORE AND AFTER EACH INFUSION. BATCH:8242797."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
182067 BD POSIFLUSH¿ XS PRE-FILLED FLUSH SYRINGE NACL 0.9% PRE-FILLED SYRINGE NGT BECTON, DICKINSON AND CO. 8242797

Patients

Seq Age Sex Outcome Treatment
1 Other