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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON, S.A. SYRINGE S2 10ML; SALINE, VASCULAR ACCESS FLUSH

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BECTON DICKINSON, S.A. SYRINGE S2 10ML; SALINE, VASCULAR ACCESS FLUSH Back to Search Results
Catalog Number 309110
Device Problem Leak/Splash (1354)
Patient Problems No Consequences Or Impact To Patient (2199); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/20/2021
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 an unspecified number of syringe s2 10ml leaked during use.The following was reported by the initial reporter: "two incidents: operating room: two luer cones broken (we still do not know the batch).Primary care: leakage of several syringes from the back (lot: 2007224).Further info received by bd representative on 1/25/2021.This original complaint pr has been split due to new update " leakage of several syringes from the back (lot: 2007224)".
 
Event Description
It was reported that an unspecified number of syringe s2 10ml leaked during use.The following was reported by the initial reporter: "two incidents: operating room: two luer cones broken (we still do not know the batch).Primary care: leakage of several syringes from the back (lot: 2007224).Further info received by bd representative on 1/25/2021.This original complaint pr has been split due to new update " leakage of several syringes from the back (lot: 2007224)".
 
Manufacturer Narrative
Investigation summary: a device history record review was completed for provided lot number 2007224.The review did not reveal any detected abnormalities during the production process that could have contributed to this defect and all quality tests were found to be within specification.As samples were unavailable for return, our quality team obtained twenty retained samples of the same lot number from the manufacturing facility for evaluation.Through examination of the retained samples, no defects were observed.Based on the investigation results, an exact manufacturing related cause could not be determined for this incident.Based on the provided customer feedback, it is possible that this incident resulted from damage to the plunger lip component.This type of damage can result from the handling of the product through the manufacturing process or during the assembly process.A quality procedure has been initiated with the aim of preventing this type of defect from recurring.The material used to manufacture the discardit syringes has been selected and tested to resist normal conditions of use.The assembly machines have an in-line camera system that inspects all product for signs of defect.Based on these preventive measures, it is possible that the mentioned syringe tip breakage was a consequence of strong conditions of use.
 
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Brand Name
SYRINGE S2 10ML
Type of Device
SALINE, VASCULAR ACCESS FLUSH
Manufacturer (Section D)
BECTON DICKINSON, S.A.
cr mequinenza
s/n
fraga, huesca 22520
SP  22520
MDR Report Key11344933
MDR Text Key267966085
Report Number3002682307-2021-00063
Device Sequence Number1
Product Code NGT
Combination Product (y/n)N
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,o
Type of Report Initial,Followup
Report Date 04/13/2021
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 Health Professional
Device Catalogue Number309110
Device Lot Number2007224
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 01/20/2021
Initial Date FDA Received02/18/2021
Supplement Dates Manufacturer Received04/13/2021
Supplement Dates FDA Received04/20/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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