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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BD CARIBE LTD. BD® QUINCKE SPINAL NEEDLES; ANESTHESIA CONDUCTION NEEDLE

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BD CARIBE LTD. BD® QUINCKE SPINAL NEEDLES; ANESTHESIA CONDUCTION NEEDLE Back to Search Results
Model Number 405181
Device Problem Device Contamination with Chemical or Other Material (2944)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/09/2021
Event Type  malfunction  
Event Description
It was reported that the bd® quincke spinal needles had foreign matter on the bevel side of the needle.The following information was provided by the initial reporter: there is a marking on the bevel side of the spinal needle.The physician feels the product is compromised.
 
Manufacturer Narrative
Date of event: unknown.The date received by manufacturer has been used for this field.A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
 
Event Description
It was reported that the bd® quincke spinal needles had foreign matter on the bevel side of the needle.The following information was provided by the initial reporter: there is a marking on the bevel side of the spinal needle.The physician feels the product is compromised.
 
Manufacturer Narrative
H6: investigation summary: there was no sample available but 2 photos were provided to bd for evaluation.Upon evaluation of the 2 photos, bd was able to confirm the reported issue.A review of the device history record was performed and no quality issues were found during production.A root cause could not be determined.
 
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Brand Name
BD® QUINCKE SPINAL NEEDLES
Type of Device
ANESTHESIA CONDUCTION NEEDLE
Manufacturer (Section D)
BD CARIBE LTD.
road 31
k.m. 24.3
juncos
Manufacturer (Section G)
BD CARIBE LTD.
road 31
k.m. 24.3
juncos
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key12963661
MDR Text Key284838003
Report Number2618282-2021-00074
Device Sequence Number1
Product Code BSP
UDI-Device Identifier30382904051816
UDI-Public30382904051816
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
PREAMENDMENT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 01/06/2022
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 Model Number405181
Device Catalogue Number405181
Device Lot Number1236170
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 11/09/2021
Initial Date FDA Received12/08/2021
Supplement Dates Manufacturer Received01/06/2022
Supplement Dates FDA Received01/14/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured09/28/2021
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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