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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON, S.A. SYRINGE S2 2ML

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BECTON DICKINSON, S.A. SYRINGE S2 2ML Back to Search Results
Catalog Number 300928
Device Problem Leak/Splash (1354)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 12/09/2019
Event Type  malfunction  
Manufacturer Narrative
Date of event: unknown.The date received by manufacturer has been used for this field.Device expiration date: unknown.A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.Device manufacture date: unknown.
 
Event Description
It was reported that an unspecified number of syringes s2 2ml experienced leakage/product damage/deformation -device still operable.Product defect was noted during use.The following information was provided by the initial reporter: they claim that our syringes do not seal properly.They are using these syringes on the hematology for taking blood samples and samples of bone marrow.There is leakage of blood.Our syringes are bad quality and the haematooncology ward does not use them any more.No proper vacuum for taking samples during trepanobiopsy.
 
Event Description
It was reported that an unspecified number of syringes s2 2ml experienced leakage/product damage/deformation -device still operable.Product defect was noted during use.The following information was provided by the initial reporter: they claim that our syringes do not seal properly.They are using these syringes on the hematology for taking blood samples and samples of bone marrow.There is leakage of blood.Our syringes are bad quality and the haematooncology ward does not use them any more.No proper vacuum for taking samples during trepanobiopsy.
 
Manufacturer Narrative
H.6.Investigation summary: bd has been provided with samples for catalog 300928 lot 1902131 to investigate for this record.Visual examination of the sample through magnification shows a leakage through the plunger rod was observed.Bd concludes that the cause of the problem was produced because of a damage in the plunger lip.This could be produced during the handling of the product through the manufacturing process or in the plunger assembly machine.The device history review showed no indication of the alleged defect.Considering our in-coming and in-process inspection and since this is the first time this lot is reported for this defect, no corrective actions are required at this time.H3 other text : see section h.10.
 
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Brand Name
SYRINGE S2 2ML
Type of Device
SYRINGE
Manufacturer (Section D)
BECTON DICKINSON, S.A.
cr mequinenza
s/n
fraga
MDR Report Key9526896
MDR Text Key190672329
Report Number3002682307-2019-00692
Device Sequence Number1
Product Code FMF
Combination Product (y/n)N
PMA/PMN Number
N/A
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,other,user facility
Type of Report Initial,Followup
Report Date 02/28/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number300928
Device Lot NumberUNKNOWN
Initial Date Manufacturer Received 12/09/2019
Initial Date FDA Received12/27/2019
Supplement Dates Manufacturer Received12/09/2019
Supplement Dates FDA Received03/02/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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