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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON, S.A. BD WHITACRE¿ SPINAL NEEDLE; ANESTHESIA CONDUCTION NEEDLE

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BECTON DICKINSON, S.A. BD WHITACRE¿ SPINAL NEEDLE; ANESTHESIA CONDUCTION NEEDLE Back to Search Results
Catalog Number 405129
Device Problem Device Markings/Labelling Problem (2911)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/02/2023
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.
 
Event Description
It was reported while using bd whitacre¿ spinal needle the label was not what was inside the box.This affected 25 pieces.There was no report of patient impact.The following information was provided by the initial reporter: found that bd quincke needle 23g was in the box instead of whitacre 25g.
 
Manufacturer Narrative
H6: investigation summary: two photos received by our quality team for investigation.Upon visual evaluation, the case is identified on the label with lot number 2109012 and with reference 405129 which corresponds to whitacre set with 25ga x 3.50in caliber introducer.Inside the box there are spinal needles with lot number 2207003 with reference 405120 which corresponds to spinal needle of caliber 23ga x 3.50in.A device history review was performed for reported lot 2109012, 2207003 no deviations or non-conformances were identified during the manufacturing process that could have contributed to this issue.Based upon the quality team's investigation, we were unable to determine the root cause for the alleged defect at this time.
 
Event Description
It was reported while using bd whitacre¿ spinal needle the label was not what was inside the box.This affected 25 pieces.There was no report of patient impact.The following information was provided by the initial reporter: found that bd quincke needle 23g was in the box instead of whitacre 25g.
 
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Brand Name
BD WHITACRE¿ SPINAL NEEDLE
Type of Device
ANESTHESIA CONDUCTION NEEDLE
Manufacturer (Section D)
BECTON DICKINSON, S.A.
camino de valdeolivia
s/n
san agustin de guadalix
Manufacturer (Section G)
BECTON DICKINSON, S.A.
camino de valdeolivia
s/n
san agustin de guadalix
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8448235433
MDR Report Key16587490
MDR Text Key312284963
Report Number3003152976-2023-00082
Device Sequence Number1
Product Code BSP
Combination Product (y/n)N
Reporter Country CodeIN
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 05/04/2023
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 Number405129
Device Lot Number2204022
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 03/02/2023
Initial Date FDA Received03/21/2023
Supplement Dates Manufacturer Received05/04/2023
Supplement Dates FDA Received05/21/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured09/09/2021
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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