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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON, S.A. BD SYRINGE WITH NEEDLE; PISTON SYRINGE

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BECTON DICKINSON, S.A. BD SYRINGE WITH NEEDLE; PISTON SYRINGE Back to Search Results
Catalog Number 301940
Device Problem Fungus in Device Environment (2316)
Patient Problem No Patient Involvement (2645)
Event Date 07/07/2020
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.(b)(4).
 
Event Description
It was reported that 3600 bd syringes with needle were found with "suspected mildew" on them before use, and black spots were seen on the outside of the packaging.The following information was provided by the initial reporter, translated from (b)(6) to english: "the equipment department found that when the large package was opened, suspected mildew was found on the appearance of part of the package.A total of 2 goods were admitted to hospital this time.Among them, most of the packages were glued to each other, and there were many black spots on the outside.".
 
Manufacturer Narrative
H.6.Investigation summary a device history record review was performed for provided lot number 1906102 and the review did not reveal any detected quality issues during the production process that could have contributed to this reported incident.To aid in the investigation of this issue, seven picture samples were returned for evaluation by our quality engineer team.Through examination of the picture samples, black particles were observed on the shelf carton surface.It has been determined that this incident resulted from some sort of water damage during the storage or transportation process post production.A manufacturing related cause could not be identified for this type of defect.Our quality engineer team will continue to monitor the production process for signs of this potential defect and any emerging trends.
 
Event Description
It was reported that 3600 bd syringes¿ with needle were found with "suspected mildew" on them before use, and black spots were seen on the outside of the packaging.The following information was provided by the initial reporter, translated from chinese to english: "the equipment department found that when the large package was opened, suspected mildew was found on the appearance of part of the package.A total of 2 goods were admitted to hospital this time.Among them, most of the packages were glued to each other, and there were many black spots on the outside.".
 
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Brand Name
BD SYRINGE WITH NEEDLE
Type of Device
PISTON SYRINGE
Manufacturer (Section D)
BECTON DICKINSON, S.A.
cr mequinenza
s/n
fraga
MDR Report Key10336353
MDR Text Key202217226
Report Number3002682307-2020-00231
Device Sequence Number1
Product Code FMF
Combination Product (y/n)N
PMA/PMN Number
NA
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 08/07/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/28/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number301940
Device Lot Number1906102
Was Device Available for Evaluation? No
Date Manufacturer Received07/07/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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