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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BD MEDICAL (BD WEST) MEDICAL SURGICAL BD POSIFLUSH¿ NORMAL SALINE SYRINGES,; SALINE, VASCULAR ACCESS FLUSH

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BD MEDICAL (BD WEST) MEDICAL SURGICAL BD POSIFLUSH¿ NORMAL SALINE SYRINGES,; SALINE, VASCULAR ACCESS FLUSH Back to Search Results
Catalog Number 306546
Device Problem Partial Blockage (1065)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/19/2023
Event Type  malfunction  
Manufacturer Narrative
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 while using bd posiflush¿ normal saline syringes, the plunger movement was difficult.There was no report of patient impact.The following information was provided by the initial reporter: plunger does not expel all of the saline in the syringe.Only about 3 ml of saline can be expelled from the syringe.
 
Manufacturer Narrative
The following fields were updated due to additional information: d10: device available for eval yes, d10: returned to manufacturer on: 01-mar-2023.H6: investigation summary it was reported the plunger does not expel all of the saline in the syringe.To aid in the investigation, two empty samples with no packaging blister or tip cap were received for evaluation by our quality team.A visual inspection was performed, and no defect or imperfections were observed.Each sample was then tested for sustaining force per it287, which is the force applied to the plunger rod while moving downwards when expelling the saline solution, and all results were within specification.A device history record review was completed for provided material number 306546, lot 2263069.The review did not reveal any detected quality issues during the production of this lot that could have contributed to the reported defect.Based on the investigation and with the returned sample analysis the symptom reported by the customer could not be confirmed, and a probable root cause could not be offered.H3 other text : see h10.
 
Event Description
It was reported while using bd posiflush¿ normal saline syringes, the plunger movement was difficult.There was no report of patient impact.The following information was provided by the initial reporter: plunger does not expel all of the saline in the syringe.Only about 3 ml of saline can be expelled from the syringe.
 
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Brand Name
BD POSIFLUSH¿ NORMAL SALINE SYRINGES,
Type of Device
SALINE, VASCULAR ACCESS FLUSH
Manufacturer (Section D)
BD MEDICAL (BD WEST) MEDICAL SURGICAL
1852 10th avenue
columbus NE 68601
Manufacturer (Section G)
BD MEDICAL (BD WEST) MEDICAL SURGICAL
1852 10th avenue
columbus NE 68601
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8448235433
MDR Report Key16441169
MDR Text Key310368138
Report Number1911916-2023-00102
Device Sequence Number1
Product Code NGT
UDI-Device Identifier00382903065462
UDI-Public(01)00382903065462
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K003553
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 03/13/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/26/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number306546
Device Lot Number2263069
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Date Manufacturer Received03/13/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured09/20/2022
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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