FDA Adverse Event Malfunction Summary report: N

BD DISCARDIT II SYRINGE

MDR report key: 8591968 · Received May 8, 2019

Report

Report Number
3002682307-2019-00289
Event Type
Malfunction
Date Received
May 8, 2019
Date of Event
April 22, 2019
Report Date
June 6, 2019
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
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION: BD HAS BEEN PROVIDED WITH A PHOTO FOR CATALOG 309110, LOT 1902113, TO INVESTIGATE FOR THIS RECORD. A LEAKAGE THROUGH THE PLUNGER OF THE SYRINGE WAS OBSERVED IN THIS PICTURE VERIFYING THE REPORTED ISSUE. BD CONCLUDES THAT THE CAUSE OF THE PROBLEM COULD BE PRODUCED BECAUSE 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. DHR SHOWED NO INDICATION OF THE ALLEGED DEFECT.

Description of Event or Problem · 0

IT WAS REPORTED THAT 2 BD DISCARDIT¿ II SYRINGES LEAKED BLOOD FROM THE PLUNGER DURING USE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM SPANISH TO ENGLISH: "WHILE BLOOD COLLECTION THERE IS A BLOOD LEAKAGE TO THE PLUNGER, WHICH CAN GENERATE A SAMPLE CONTAMINATION AND A POTENTIALLY RISK OF BLOOD EXPOSURE TO HEALTH PROFESSIONALS."

Additional Manufacturer Narrative · 1

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 2 BD DISCARDIT¿ II SYRINGES LEAKED BLOOD FROM THE PLUNGER DURING USE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM SPANISH TO ENGLISH: "WHILE BLOOD COLLECTION THERE IS A BLOOD LEAKAGE TO THE PLUNGER, WHICH CAN GENERATE A SAMPLE CONTAMINATION AND A POTENTIALLY RISK OF BLOOD EXPOSURE TO HEALTH PROFESSIONALS."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
386984 BD DISCARDIT II SYRINGE SYRINGE FMF BECTON DICKINSON, S.A. 1902113

Patients

Seq Age Sex Outcome Treatment
1 Other