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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON MEDICAL (SINGAPORE) BD VACUTAINER® FLASHBACK BLOOD COLLECTION NEEDLE

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BECTON DICKINSON MEDICAL (SINGAPORE) BD VACUTAINER® FLASHBACK BLOOD COLLECTION NEEDLE Back to Search Results
Catalog Number 301746
Device Problem Leak/Splash (1354)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/11/2023
Event Type  malfunction  
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 that while using bd vacutainer® flashback blood collection needle, the customer reported that one box of the recent batch of venous blood collection needles had two cases of blood leakage.The following information was provided by the initial reporter: on the afternoon of (b)(6) 2023, when visiting the blood collection room of the physical examination center, a blood collection nurse in the blood collection room, reported that one box of the recent batch of venous blood collection needles had two cases of blood leakage.As a result, the blood collection room is afraid to continue using the remaining needles in the box.
 
Event Description
It was reported that while using bd vacutainer® flashback blood collection needle, the customer reported that one box of the recent batch of venous blood collection needles had two cases of blood leakage.The following information was provided by the initial reporter: on the afternoon of (b)(6) 2023, when visiting the blood collection room of the physical examination center, a blood collection nurse in the blood collection room, reported that one box of the recent batch of venous blood collection needles had two cases of blood leakage.As a result, the blood collection room is afraid to continue using the remaining needles in the box.
 
Manufacturer Narrative
H.6.Investigation summary: bd had not received samples, but 4 photos were provided for investigation.The photos were reviewed and the indicated failure mode for sleeve leakage was observed.Based on a review of the device history record for the incident lot, all product specifications and requirements for lot release were met.There were no related quality issues during manufacturing of the product.This complaint has been confirmed for the indicated failure mode sleeve leakage.Bd was not able to identify a root cause for the indicated failure mode.Complaints received for this device and reported condition will continue to be tracked and trended.Our business team regularly reviews the collected data for identification of emerging trends.H3 other text : see h10.
 
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Brand Name
BD VACUTAINER® FLASHBACK BLOOD COLLECTION NEEDLE
Type of Device
BLOOD COLLECTION NEEDLE
Manufacturer (Section D)
BECTON DICKINSON MEDICAL (SINGAPORE)
30 tuas avenue 2
singapore
Manufacturer (Section G)
BECTON DICKINSON MEDICAL (SINGAPORE)
30 tuas avenue 2
singapore
Manufacturer Contact
jennifer suh
7 loveton circle
sparks, MD 21152
4103164000
MDR Report Key18006683
MDR Text Key326709614
Report Number8041187-2023-00547
Device Sequence Number1
Product Code FMI
UDI-Device Identifier30382903017462
UDI-Public(01)30382903017462
Combination Product (y/n)N
Reporter Country CodeCH
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,Followup
Report Date 11/20/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/25/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number301746
Device Lot Number3057809
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received11/20/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured03/15/2023
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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