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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. BD IAG BC PRO GLOBAL WING; PERIPHERAL IV CATHETERS

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BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. BD IAG BC PRO GLOBAL WING; PERIPHERAL IV CATHETERS Back to Search Results
Catalog Number 382933
Device Problem Unsealed Device Packaging (1444)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/28/2024
Event Type  malfunction  
Manufacturer Narrative
H.3.A follow up mdr will be submitted if additional information, a device evaluation, or a device history review is completed.B3.The date received by manufacturer has been used for this field.
 
Event Description
It was reported that bd iag bc pro global wing package seal integrity.The following information was provided by the initial reporter, translated from french to english: i am sending you a material safety report of zero clinical importance.We found 11 units of unsealed (primary packaging unsealed) and therefore non-sterile.We have not found this defect in other boxes from the same batch.We're not asking for credit or free units, i just wanted to let you know.
 
Event Description
No additional information.
 
Manufacturer Narrative
Investigation results: the complaint of unsealed packaging was confirmed and the cause appeared to be packaging related.Two photographs and eleven 20ga insyte autoguard units from lot #2340957 were provided for investigation.The eleven units did not exhibit a complete seal due to the top web being misaligned with the bottom web.This defect likely occurred during the packaging process.During the sealing process, it appeared that the top web was misaligned with the bottom web, which resulted in an incomplete and open seal.100% vision system and setup verification per procedures are in place to mitigate the occurrence of this defect.The appropriate manufacturing personnel were notified of this issue.
 
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Brand Name
BD IAG BC PRO GLOBAL WING
Type of Device
PERIPHERAL IV CATHETERS
Manufacturer (Section D)
BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
9450 south state street
sandy UT 84070
Manufacturer (Section G)
BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
9450 south state street
sandy UT 84070
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key18951312
MDR Text Key338589375
Report Number1710034-2024-00211
Device Sequence Number1
Product Code FOZ
UDI-Device Identifier00382903829330
UDI-Public(01)00382903829330
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
UNK
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Company Representative
Reporter Occupation Physician
Type of Report Initial
Report Date 03/04/2024
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 Other
Device Catalogue Number382933
Device Lot Number2340957
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 02/28/2024
Initial Date FDA Received03/21/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured12/13/2022
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
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