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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON & CO., (BD) BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE; HYPODERMIC SINGLE LUMEN NEEDLE

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BECTON, DICKINSON & CO., (BD) BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE; HYPODERMIC SINGLE LUMEN NEEDLE Back to Search Results
Catalog Number 368607
Device Problem Leak/Splash (1354)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/07/2023
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 has been reported that the bd vacutainer® eclipse¿ blood collection needle has been found experiencing poor sleeve function.No patient impact was reported.The following has been provided by the initial reporter: there was a sleeve rupture (the rubber that covers the distal needle), causing the blood to leak inside the holder.The physical sample is not available for analysis.As immediate action, the sample acquisition was completed this same way.Since the issue happened at the end of procedure there was no necessity of another puncture.
 
Event Description
It has been reported that the bd vacutainer® eclipse¿ blood collection needle has been found experiencing poor sleeve function.No patient impact was reported.The following has been provided by the initial reporter: there was a sleeve rupture (the rubber that covers the distal needle), causing the blood to leak inside the holder.The physical sample is not available for analysis.As immediate action, the sample acquisition was completed this same way.Since the issue happened at the end of procedure there was no necessity of another puncture.
 
Manufacturer Narrative
H.6.Investigation summary: material #: 368607.Lot/batch #: 3012295.Bd had not received samples, but 1 photo was provided for investigation.The photo was reviewed and the indicated failure mode for sleeve leakage was observed.Additionally, 10 retention samples from bd inventory were evaluated by functional testing, each used to draw 10 vacutainer tubes, and the issue of sleeve leakage was not 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.
 
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Brand Name
BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE
Type of Device
HYPODERMIC SINGLE LUMEN NEEDLE
Manufacturer (Section D)
BECTON, DICKINSON & CO., (BD)
1575 airport road
sumter SC 29153
Manufacturer (Section G)
BECTON, DICKINSON & CO., (BD)
1575 airport road
sumter SC 29153
Manufacturer Contact
jo doyka
7 loveton circle
sparks, MD 21152
4103164000
MDR Report Key18219125
MDR Text Key329147077
Report Number1024879-2023-00850
Device Sequence Number1
Product Code FMI
UDI-Device Identifier50382903686075
UDI-Public(01)50382903686075
Combination Product (y/n)N
Reporter Country CodeBR
PMA/PMN Number
K982541
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 02/06/2024
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 Number368607
Device Lot Number3012295
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 11/07/2023
Initial Date FDA Received11/28/2023
Supplement Dates Manufacturer Received02/06/2024
Supplement Dates FDA Received02/20/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured01/12/2023
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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