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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON NEEDLE SPINAL S/SU 20GA 6IN QUINCKE CE; NEEDLE, SPINAL, SHORT TERM

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BECTON DICKINSON NEEDLE SPINAL S/SU 20GA 6IN QUINCKE CE; NEEDLE, SPINAL, SHORT TERM Back to Search Results
Catalog Number 400368
Device Problem Illegible Information (4050)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/01/2024
Event Type  malfunction  
Manufacturer Narrative
(b)(4): initial mdr submission.A follow up mdr will be submitted if additional information, a device evaluation, or a device history review is completed.The actual date of event is unknown.The date received by manufacturer was entered into the date of event field.H3 other text : see h10 manufacture narrative.
 
Event Description
We have bd canulas ref 400368 where the batch number is illegible on the packaging (see attachment).We cannot trace our dm properly.As we have not kept the box, we cannot use these canulas.The equivalent of a box is involved.Is it possible to send us compensation for the unusable canulas? picture available in attchment.
 
Manufacturer Narrative
Investigation summary: one photo was provided for investigation.It is observed a tyvek for catalog 400368 ¿ 20ga x 6¿ (the yellow square in the tyvek represents 20ga needles).The lot number, expiration date and the needle¿s measurements are illegible.Furthermore, a device history record review showed no rejected inspections or quality issues during the production of the provided lot number that could have contributed to the reported defect.Based on the teams investigation, possible root cause is associated with g incorrect printer adjustment in the multivac machine during the flexographic printing.Manufacturing personnel have been notified of this incident to increase awareness of this matter.
 
Event Description
No additional information received.
 
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Brand Name
NEEDLE SPINAL S/SU 20GA 6IN QUINCKE CE
Type of Device
NEEDLE, SPINAL, SHORT TERM
Manufacturer (Section D)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
Manufacturer (Section G)
BD MDS DCHU
75 north fairway drive
vernon hills IL 60061
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key18658459
MDR Text Key334742812
Report Number2618282-2024-00005
Device Sequence Number1
Product Code MIA
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K210978
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional
Reporter Occupation Pharmacist
Type of Report Initial,Followup
Report Date 02/24/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/07/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number400368
Device Lot Number3150814
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/24/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/14/2023
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
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