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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BD MEDICAL (BD WEST) MEDICAL SURGICAL BD POSIFLUSH¿ NORMAL SALINE SYRINGES; SALINE, VASCULAR ACCESS FLUSH

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BD MEDICAL (BD WEST) MEDICAL SURGICAL BD POSIFLUSH¿ NORMAL SALINE SYRINGES; SALINE, VASCULAR ACCESS FLUSH Back to Search Results
Catalog Number 306546
Device Problem Defective Component (2292)
Patient Problem Insufficient Information (4580)
Event Date 08/18/2023
Event Type  malfunction  
Event Description
It was reported while using bd posiflush¿ normal saline syringes the plunger movement was difficult.There was no report of patient impact.The following information was provided by the initial reporter: we have multiple complaints of the 306546 flushes requiring excessive pressure (both manual pressure and/or syringe pump pressure) to plunge.We have pulled all of lot #3142760.
 
Manufacturer Narrative
H.3.A device evaluation and/or device history review is anticipated but is not complete.Upon completion, a supplemental report will be filed.
 
Event Description
It was reported while using bd posiflush¿ normal saline syringes the plunger movement was difficult.There was no report of patient impact.The following information was provided by the initial reporter: we have multiple complaints of the 306546 flushes requiring excessive pressure (both manual pressure and/or syringe pump pressure) to plunge.We have pulled all of lot #3142760.
 
Manufacturer Narrative
H6: investigation summary a device history record review was completed by our quality engineer team for provided material number 306546 and lot number 3142760.The review did not reveal any detected abnormalities during the production process that could have contributed to this defect and all quality tests were found to be within specification.As a sample was unavailable for return, a thorough sample investigation could not be completed.Based on the investigation results, an exact cause for this incident could not be identified.
 
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Brand Name
BD POSIFLUSH¿ NORMAL SALINE SYRINGES
Type of Device
SALINE, VASCULAR ACCESS FLUSH
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
jennifer suh
9450 south state street
sandy, UT 84070
8448235433
MDR Report Key17703138
MDR Text Key322887959
Report Number1911916-2023-00635
Device Sequence Number1
Product Code NGT
UDI-Device Identifier30382903065463
UDI-Public(01)30382903065463
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K003553
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 09/12/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number306546
Device Lot Number3142760
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 08/21/2023
Initial Date FDA Received09/07/2023
Supplement Dates Manufacturer Received09/12/2023
Supplement Dates FDA Received09/27/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured05/22/2023
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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