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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON BD MICRO-FINE¿+ PEN NEEDLES; HYPODERMIC SINGLE LUMEN NEEDLE

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BECTON DICKINSON BD MICRO-FINE¿+ PEN NEEDLES; HYPODERMIC SINGLE LUMEN NEEDLE Back to Search Results
Catalog Number 320136
Device Problem Unsealed Device Packaging (1444)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/27/2023
Event Type  malfunction  
Event Description
It was reported that prior to using the bd micro-fine¿+ pen needles 32g x 4mm (70 count) the device was found missing a protective seal.The following information was provided by the initial reporter, translated from japanese to english: this is a complaint about protective seal missing.Customer reported that one of the bags of #30136 (mfp32g4mm) was brought to the dispensary by a nurse at the aged care facility because it was missing a protective seal.Sold by the same dispensing pharmacy to a geriatric facility.Complaint from the same pharmacy.
 
Manufacturer Narrative
Unknown manufacturer: there are multiple bd locations where this unspecified bd device may have been manufactured.A lot number could not be confirmed for this incident and without this information we are unable to determine where the device was manufactured.Therefore, bd corporate headquarters in franklin lakes, nj has been listed in sections d.3.And g.1.And the franklin lakes fda registration number has been used for the manufacture report number.D.4.Medical device expiration date: unknown.H.4.Device manufacture date: unknown.H.6.Investigation summary: no samples were returned therefore the investigation was performed based on the photo(s) provided.Embecta was able to confirm the customer indicated issue.Complaints received for this device and reported condition will continue to be tracked and trended.If samples are received in the future the complaint will be reopened for further investigation.Based on the above, no additional investigation and no corrective/preventative action (capa) or situational analysis (sa) is required at this time.
 
Event Description
It was reported that prior to using the bd micro-fine¿+ pen needles 32g x 4mm (70 count) the device was found missing a protective seal.The following information was provided by the initial reporter, translated from japanese to english: this is a complaint about protective seal missing.Customer reported that one of the bags of #30136 (mfp32g4mm) was brought to the dispensary by a nurse at the aged care facility because it was missing a protective seal.Sold by the same dispensing pharmacy to a geriatric facility.Complaint from the same pharmacy.
 
Manufacturer Narrative
H.6.Investigation summary: no samples were returned therefore the investigation was performed based on the photo(s) provided.Embecta was able to confirm the customer indicated issue.Complaints received for this device and reported condition will continue to be tracked and trended.If samples are received in the future the complaint will be reopened for further investigation.Based on the above, no additional investigation and no corrective/preventative action (capa) or situational analysis (sa) is required at this time.H3 other text : see h.10.
 
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Brand Name
BD MICRO-FINE¿+ PEN NEEDLES
Type of Device
HYPODERMIC SINGLE LUMEN NEEDLE
Manufacturer (Section D)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
Manufacturer (Section G)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
Manufacturer Contact
jennifer suh
5859 farinon drive
san antonio, TX 78249
8448235433
MDR Report Key18365117
MDR Text Key331325406
Report Number2243072-2023-02221
Device Sequence Number1
Product Code FMI
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 12/24/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/20/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number320136
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received12/15/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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