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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON MEDICAL SYSTEMS BD SAFETYGLIDE¿ NEEDLE; HYPODERMIC SINGLE LUMEN NEEDLE

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BECTON DICKINSON MEDICAL SYSTEMS BD SAFETYGLIDE¿ NEEDLE; HYPODERMIC SINGLE LUMEN NEEDLE Back to Search Results
Catalog Number 305916
Device Problem Complete Blockage (1094)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 12/07/2022
Event Type  malfunction  
Manufacturer Narrative
Date of event: unknown.The date received by manufacturer has been used for this field.A device evaluation is anticipated but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
 
Event Description
It was reported that 15 bd safetyglide¿ needles were blocked during use.The following information was provided by the initial reporter: "the needle is occluded, and they can't push the medicine through.".
 
Event Description
It was reported that 15 bd safetyglide¿ needles from lot 2025238, 1 needle each from lots 2025237 and 2195356 were blocked during use.The following information was provided by the initial reporter: "the needle is occluded, and they can't push the medicine through.".
 
Manufacturer Narrative
The following fields were updated due to additional information: b.5.Describe event or problem: it was reported that 15 bd safetyglide¿ needles from lot 2025238, 1 needle each from lots 2025237 and 2195356 were blocked during use.There were multiple lot numbers reported to be involved.The information for each lot number is as follows: d.4.Medical device lot #: 2025238 d.4.Medical device expiration date: 31-dec-2026 h.4.Device manufacture date: 25-jan-2022 d.4.Medical device lot #: 2025237 d.4.Medical device expiration date: 31-dec-2026 h.4.Device manufacture date: 25-jan-2022 d.4.Medical device lot #: 2195356 d.4.Medical device expiration date: 30-jun-2027.H.4.Device manufacture date: 14-jul-2022 h6: investigation summary it was reported the needle was occluded.To aid in the investigation, twenty-nine samples were received for evaluation by our quality team.One sample came in a sealed packaging blister with lot 2195356.The remaining twenty-eight samples came with no packaging blisters.A visual inspection was performed and no defects or imperfections were observed.Each sample was then connected to a syringe with saline solution.The sample in the sealed packaging blister expelled the solution with a normal flow.From the additional twenty-eight samples.Twenty-six samples expelled the solution with a normal flow and two did not; these two needles are clogged.A device history record review was completed for provided material number 305916, lot numbers 2025237, 2025238 and 2195356.The review revealed all visual inspections were performed as per requirement with no quality notifications related to the complaint defect.Lots 2025237, 2025238 and 2195356 were inspected and accepted based on meeting our inspection control plan and subsequently approved for shipment.Additional device histories were reviewed for each batch of needles used in the manufacturing of this batch.During the history review, additional lots were identified as having suffered from clogged needles due to silicone.It could be possible some samples are escapes from the incident that occurred during production.Several quality initiatives have been implemented on our manufacturing line to ensure that the needle lubricant application is properly applied during the manufacturing process.Additionally, a monitoring program is also in place to verify the needle lubricant is applied uniformly to the needle.Based on the investigation and with the returned sample analysis the symptom reported by the customer is confirmed.
 
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Brand Name
BD SAFETYGLIDE¿ NEEDLE
Type of Device
HYPODERMIC SINGLE LUMEN NEEDLE
Manufacturer (Section D)
BECTON DICKINSON MEDICAL SYSTEMS
route 7 and grace way
canaan CT 06018
Manufacturer (Section G)
BECTON DICKINSON MEDICAL SYSTEMS
route 7 and grace way
canaan CT 06018
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key16057280
MDR Text Key308477639
Report Number1213809-2022-01316
Device Sequence Number1
Product Code FMI
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K951254
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 01/04/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/27/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number305916
Device Lot NumberSEE H10
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/23/2022
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/10/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured01/25/2022
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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