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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BD MEDICAL (BD WEST) MEDICAL SURGICAL BD¿ BLUNT FILL NEEDLE 18 G; MANUAL SURGICAL INSTRUMENT FOR GENERAL USE

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BD MEDICAL (BD WEST) MEDICAL SURGICAL BD¿ BLUNT FILL NEEDLE 18 G; MANUAL SURGICAL INSTRUMENT FOR GENERAL USE Back to Search Results
Model Number 305180
Device Problem Device Markings/Labelling Problem (2911)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/22/2022
Event Type  malfunction  
Manufacturer Narrative
Investigation summary: it was reported the sanitary registration print on packaging is not legible.To aid in the investigation, four photos were provided for evaluation by our quality team.The first photo shows sealed packaging blisters from the top web side.The second photo shows the packaging blisters from the top web side.The third photo shows the top web printing from the bottom side where the batch number and expiration date are located.The fourth photo shows printing on the bottom web with the register number information.The printing looks permanent, but the resolution could be better.It could be possible the product received the registration number when they were imported and before the distribution to the customer.A device history record review was completed for provided material number: 305180, lot number: 8173880.The review did not reveal any detected quality issues during the production of this lot that could have contributed to the reported defect.To date, there have been no other similar events reported for this lot.Based on the investigation and with the photo sample analysis the symptom reported by the customer is confirmed.Complaints received for this device and reported condition will continue to be tracked and trended.Our quality team regularly reviews the collected data for identification of emerging trends.
 
Event Description
It was reported while using bd¿ blunt fill needle 18 g 600 pieces had illegible print.There was no report of patient impact.The following information was provided by the initial reporter, translated from spanish to english: the sanitary registration print in packaging is not legible.(b)(4) units affected by the issue.After doing an internal evaluation, customer has decided to use products although the issue.
 
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Brand Name
BD¿ BLUNT FILL NEEDLE 18 G
Type of Device
MANUAL SURGICAL INSTRUMENT FOR GENERAL USE
Manufacturer (Section D)
BD MEDICAL (BD WEST) MEDICAL SURGICAL
1852 10th avenue
columbus NE 68601
Manufacturer (Section G)
BD MEDICAL (BD WEST) MEDICAL SURGICAL
1852 10th avenue
columbus NE 68601
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key15985703
MDR Text Key308194531
Report Number1911916-2022-00740
Device Sequence Number1
Product Code GAA
UDI-Device Identifier30382903051800
UDI-Public(01)30382903051800
Combination Product (y/n)N
Reporter Country CodeCO
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 11/29/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/15/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Expiration Date08/31/2023
Device Model Number305180
Device Catalogue Number305180
Device Lot Number8173880
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received11/22/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured06/22/2018
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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