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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON, S.A. BD SYRINGE 10ML SALINE FILL CE EMA/CIS SP; SALINE VASCULAR ACCESS FLUSH

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BECTON DICKINSON, S.A. BD SYRINGE 10ML SALINE FILL CE EMA/CIS SP; SALINE VASCULAR ACCESS FLUSH Back to Search Results
Catalog Number 306585
Device Problem Illegible Information (4050)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/26/2023
Event Type  malfunction  
Event Description
It was reported that bd syringe 10ml saline fill ce ema/cis sp unit package labeling issues.The following information was provided by the initial reporter, translated from polish to english: illegible print on the foil of the unit packaging (blurred, incomplete, double).
 
Manufacturer Narrative
H.3.A device evaluation and/or device history review is anticipated but is not complete.If additional information becomes available, a supplemental report will be filed.
 
Manufacturer Narrative
To aid in the investigation of this issue, two (2) pictures were received for evaluation by our quality team.Through examination of the pictures, the information printed on the packaging film was blurred and not legible.A device history record review was completed for provided material number 306585 and lot number 3199059.The review did not reveal any detected abnormalities during the production process that could have contributed to this reported incident.As no issues were detected during production, an exact cause could not be determined.This type of defect may occur with the packaging film at the end of the film roll, as tension is higher on the film due to the winding process.Based on the preventive measures in place, we believe this was an isolated incident with an unlikely chance of recurrence.At this time, further action has not been determined necessary.Our quality team will continue to closely monitor the manufacturing process for signs of this potential defect and any emerging trends.
 
Event Description
No additional information.
 
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Brand Name
BD SYRINGE 10ML SALINE FILL CE EMA/CIS SP
Type of Device
SALINE VASCULAR ACCESS FLUSH
Manufacturer (Section D)
BECTON DICKINSON, S.A.
cr mequinenza
s/n
fraga, huesca 22520
SP  22520
Manufacturer (Section G)
BECTON DICKINSON, S.A.
cr mequinenza
s/n
fraga, huesca 22520
SP   22520
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key18171018
MDR Text Key328996125
Report Number3002682307-2023-00330
Device Sequence Number1
Product Code NGT
UDI-Device Identifier00382903065851
UDI-Public(01)00382903065851
Combination Product (y/n)N
Reporter Country CodePL
PMA/PMN Number
UKN
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 05/01/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/20/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number306585
Device Lot Number3199059
Is the Reporter a Health Professional? Yes
Date Manufacturer Received05/01/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/18/2023
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
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