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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON AND COMPANY BD¿ BLUNT FILL NEEDLE; MANUAL SURGICAL INSTRUMENT FOR GENERAL USE

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BECTON DICKINSON AND COMPANY BD¿ BLUNT FILL NEEDLE; MANUAL SURGICAL INSTRUMENT FOR GENERAL USE Back to Search Results
Catalog Number 305180
Device Problem Device Markings/Labelling Problem (2911)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 08/09/2019
Event Type  malfunction  
Manufacturer Narrative
Date of event: unknown.The date received by manufacturer has been used for this field.Device expiration date: unknown.Device manufacture date: unknown.A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
 
Event Description
It was reported that mixed product was found before use with a bd¿ blunt fill needle.The following information was provided by the initial reporter, "please see the below concern from the ems stonegate, calgary zone, regarding a blunt filled needle 18g x 1.5¿, (mf# (b)(4)), (lot# all).The concern: the non-filtered blunt fill needles required for the point of care testing devices are in a lookalike packaging with the filtered blunt fill needles.Labeling is identical except for slightly different colors and very small text that indicates if it is filtered needle.".
 
Manufacturer Narrative
Please consider this mdr as canceled as the information was revaluated and does not meet our reporting criteria.H3 other text : see.H.10.
 
Event Description
It was reported that mixed product was found before use with a bd¿ blunt fill needle.The following information was provided by the initial reporter, "please see the below concern from the ems stonegate, calgary zone, regarding a blunt filled needle 18g x 1.5¿, (mf#305180), (lot# all).The concern: the non-filtered blunt fill needles required for the point of care testing devices are in a lookalike packaging with the filtered blunt fill needles.Labeling is identical except for slightly different colors and very small text that indicates if it is filtered needle.".
 
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Brand Name
BD¿ BLUNT FILL NEEDLE
Type of Device
MANUAL SURGICAL INSTRUMENT FOR GENERAL USE
Manufacturer (Section D)
BECTON DICKINSON AND COMPANY
2153 12th avenue
columbus NE 68601
MDR Report Key8946386
MDR Text Key159161227
Report Number1911916-2019-00888
Device Sequence Number1
Product Code GAA
UDI-Device Identifier30382903051800
UDI-Public30382903051800
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,o
Type of Report Initial,Followup
Report Date 09/06/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/29/2019
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number305180
Device Lot NumberUNKNOWN
Date Manufacturer Received08/09/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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