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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON INDUSTRIAS CIRURGICAS, LTDA. SPINAL NEEDLE 27GA 3-1/2IN; ANESTHESIA CONDUCTION NEEDLE

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BECTON DICKINSON INDUSTRIAS CIRURGICAS, LTDA. SPINAL NEEDLE 27GA 3-1/2IN; ANESTHESIA CONDUCTION NEEDLE Back to Search Results
Catalog Number 408381
Device Problem Leak/Splash (1354)
Patient Problem No Patient Involvement (2645)
Event Date 08/31/2020
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.(b)(4).
 
Event Description
It was reported that spinal needle 27ga 3-1/2in had a hole in a needle hub.The following information was provided by the initial reporter: "*notivisa* crack in the part of insertion of the syringe.".
 
Manufacturer Narrative
H.6.Investigation: there was no sample or photo available to bd for evaluation.Therefore, bd was unable to perform a thorough investigation to verify the reported issue.Since, an investigation could not be performed bd was unable to determine a possible root cause.A review of the device history record was performed and no quality issues were found during production.H3 other text : see h.10.
 
Event Description
It was reported that spinal needle 27ga 3-1/2in had a hole in a needle hub.The following information was provided by the initial reporter: "notivisa crack in the part of insertion of the syringe.".
 
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Brand Name
SPINAL NEEDLE 27GA 3-1/2IN
Type of Device
ANESTHESIA CONDUCTION NEEDLE
Manufacturer (Section D)
BECTON DICKINSON INDUSTRIAS CIRURGICAS, LTDA.
ave. pres.juscelino kubitschek
273 francisco bernardino
juiz de fora
MDR Report Key10624678
MDR Text Key211010192
Report Number9610048-2020-00140
Device Sequence Number1
Product Code BSP
Combination Product (y/n)N
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,other,user facility
Type of Report Initial,Followup
Report Date 10/09/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number408381
Device Lot Number9269716
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 09/14/2020
Initial Date FDA Received10/04/2020
Supplement Dates Manufacturer Received09/14/2020
Supplement Dates FDA Received10/09/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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