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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON UNSPECIFIED BD ANESTHESIA SYRINGE; ANESTHESIA CONDUCTION NEEDLE

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BECTON DICKINSON UNSPECIFIED BD ANESTHESIA SYRINGE; ANESTHESIA CONDUCTION NEEDLE Back to Search Results
Catalog Number UNKNOWN
Device Problems Leak/Splash (1354); Failure to Deliver (2338)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 10/21/2020
Event Type  malfunction  
Manufacturer Narrative
Medical device expiration date: unknown.Device manufacture date: unknown.A device evaluation and/or device history review is anticipated, but is not complete.Upon completion, a supplemental report will be filed.(b)(4).Unknown manufacturer: (b)(4).
 
Event Description
It was reported that an unspecified bd anaesthesia needle had a difficult to move plunger.The following information was provided by the initial reporter: "material no: unknown batch no: unknown.It was reported that the customer just had a patient tell me they are lasting maybe a day and ½ before they have to throw them out.Verbatim: i do not have any specific lot numbers, or syringes in my possession other than new in the package, or for that matter any particular patient name.We have had many complaints over the past few years about these syringes.One patient even went to the extent of trimming down the black rubber on the plunger to get it to move freely.I just had a patient tell me they are lasting maybe a day and ½ before they have to throw them out.".
 
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Brand Name
UNSPECIFIED BD ANESTHESIA SYRINGE
Type of Device
ANESTHESIA CONDUCTION NEEDLE
Manufacturer (Section D)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
Manufacturer (Section G)
BECTON DICKINSON MEDICAL SYSTEMS
route 7 and grace way
canaan CT 06018
Manufacturer Contact
brett wilko
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key10841536
MDR Text Key216409766
Report Number2243072-2020-01831
Device Sequence Number1
Product Code BSP
Combination Product (y/n)N
Reporter Country CodeCA
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,other,user facility
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 10/23/2020
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 NumberUNKNOWN
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 10/21/2020
Initial Date FDA Received11/15/2020
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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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