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U.S. Department of Health and Human Services

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

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BD CARIBE LTD. BD¿ QUINCKE SPINAL NEEDLE; ANESTHESIA CONDUCTION NEEDLE Back to Search Results
Catalog Number 405180
Device Problem Packaging Problem (3007)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/29/2023
Event Type  malfunction  
Manufacturer Narrative
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 needle experienced mixed product type in packaging.The following information was provided by the initial reporter: the customer reported that they received a box of bd spinal needles #405180 lot # 2334994 without a different size tip than the 25g they ordered and listed on the packaging.Customer opened spinal needle 405180 and the needle had a different tip other than the 25gx3.5 as the packaging indicated.
 
Event Description
It was reported that the bd¿ quincke spinal needle experienced mixed product type in packaging.The following information was provided by the initial reporter: the customer reported that they received a box of bd spinal needles #405180 lot # 2334994 without a different size tip than the 25g they ordered and listed on the packaging.Customer opened spinal needle 405180 and the needle had a different tip other than the 25gx3.5 as the packaging indicated.
 
Manufacturer Narrative
H6: investigation summary: one photo received by our quality team for investigation.Upon visual evaluation, two needles are seen; in one of the needles is observed the stylet is longer than the needle, therefore the stylet is protruding.A device history review was performed for reported lot 2334994, no deviations or non-conformances were identified during the manufacturing process that could have contributed to this issue.Based on the teams investigation, possible root cause is associated with stylet out of alignment which orients the length and rotation of the cannula /stylet.
 
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Brand Name
BD¿ QUINCKE SPINAL NEEDLE
Type of Device
ANESTHESIA CONDUCTION NEEDLE
Manufacturer (Section D)
BD CARIBE LTD.
road 31
k.m. 24.3
juncos IA
Manufacturer (Section G)
BD CARIBE LTD.
road 31
k.m. 24.3
juncos IA
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8448235433
MDR Report Key16892307
MDR Text Key314814810
Report Number2618282-2023-00034
Device Sequence Number1
Product Code BSP
UDI-Device Identifier00382904051808
UDI-Public00382904051808
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K210978
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 05/25/2023
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 Number405180
Device Lot Number2334994
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 04/15/2023
Initial Date FDA Received05/08/2023
Supplement Dates Manufacturer Received05/25/2023
Supplement Dates FDA Received06/10/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured01/16/2023
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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