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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON MEDICAL SYSTEMS BD SAFETYGLIDE; SAFETYGLIDE NEEDLES

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BECTON DICKINSON MEDICAL SYSTEMS BD SAFETYGLIDE; SAFETYGLIDE NEEDLES Back to Search Results
Catalog Number 305916
Device Problem Leak/Splash (1354)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/16/2023
Event Type  malfunction  
Event Description
It was reported that the bd safetyglide needles leak.The following information was provided by the initial reporter: "we use this sub product for our flu vaccines, we have had a couple of instances where the fluid for the vaccine comes out when inserting it into the arm and drips down the arm.Witch means the person is not getting there full dose of the vaccine.This product is a sub product that we are using currently, we usually use the bd safety glide for our flu clinics.Is there any chance we will be getting this product back in the near future.".
 
Manufacturer Narrative
B.3.The date received by manufacturer has been used for this field.H.3.A device evaluation and/or device history review is anticipated but is not complete.Upon completion, a supplemental report will be filed.
 
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Brand Name
BD SAFETYGLIDE
Type of Device
SAFETYGLIDE NEEDLES
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
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key18107976
MDR Text Key328127614
Report Number1213809-2023-01245
Device Sequence Number1
Product Code FMI
UDI-Device Identifier30382903059165
UDI-Public(01)30382903059165
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 User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 11/08/2023
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 Number305916
Device Lot NumberUNKNOWN
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 10/16/2023
Initial Date FDA Received11/09/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
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