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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON, S.A. BD POSIFLUSH SYRINGE; SALINE VASCULAR ACCESS FLUSH

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BECTON DICKINSON, S.A. BD POSIFLUSH SYRINGE; SALINE VASCULAR ACCESS FLUSH Back to Search Results
Catalog Number 306575
Device Problem Device Markings/Labelling Problem (2911)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 12/25/2023
Event Type  malfunction  
Event Description
It was reported that bd posiflush syringe is missing a label.The following information was provided by the initial reporter.No sticker.The syringe is not covered with sticker.
 
Manufacturer Narrative
H.3.A follow up mdr will be submitted if additional information, a device evaluation, or a device history review is completed.
 
Manufacturer Narrative
A device history record review was completed for provided material number 306575 and lot number 3186664.The review did not reveal any detected abnormalities during the production process that could have contributed to the reported defect and all quality tests were found to be within specification.As samples were unavailable for return, retained samples of reported lot number were obtained from the manufacturing facility.The retained samples were evaluated; however, no defects were observed.Per the provided feedback, we understand an issue with barrel label missing.All our prls (plunger rod assembly and labeler) have a vision system to detect issues in the barrel label, including missing label.In this case, the issue could probably be caused after the vision system due to a failure in the double rejection station.If the syringe has no label, the rejection station must reject it.However, if there is a failure in the rejection, the station stops and it does not allow to run the machine.Then, the operator must check which is the cause of the stoppage and remove the defective samples.This is a very unusual circumstance.Labelling is inspected on regular basis under quality assurance control sampling procedure.Based on our stringent sampling inspection, we are certain that the probability of occurrence of this non-conformance is low and this should correspond to an isolated case.However, an awareness bulletin for the reported defect has been communicated to the manufacturing affected area and a training has been conducted.Our quality team will continue to closely monitor the manufacturing process for signs of this potential defect and any emerging trends.H3 other text : see narrative below.
 
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Brand Name
BD POSIFLUSH SYRINGE
Type of Device
SALINE VASCULAR ACCESS FLUSH
Manufacturer (Section D)
BECTON DICKINSON, S.A.
cr mequinenza
s/n
fraga, huesca 22520
SP  22520
Manufacturer (Section G)
BECTON DICKINSON, S.A.
cr mequinenza
s/n
fraga, huesca 22520
SP   22520
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key18544726
MDR Text Key333522010
Report Number3002682307-2024-00005
Device Sequence Number1
Product Code NGT
UDI-Device Identifier00382903065752
UDI-Public(01)00382903065752
Combination Product (y/n)N
Reporter Country CodeTW
PMA/PMN Number
UKN
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 04/03/2024
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 Lay User/Patient
Device Catalogue Number306575
Device Lot Number3186664
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 01/02/2024
Initial Date FDA Received01/19/2024
Supplement Dates Manufacturer Received04/03/2024
Supplement Dates FDA Received04/24/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured07/05/2023
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
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