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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON, S.A. SPINAL SET 26GA 3-1/2IN; ANESTHESIA CONDUCTION NEEDLE

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BECTON DICKINSON, S.A. SPINAL SET 26GA 3-1/2IN; ANESTHESIA CONDUCTION NEEDLE Back to Search Results
Catalog Number 405065
Device Problem Complete Blockage (1094)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 09/16/2020
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 the spinal set 26ga 3-1/2in was blocked during use.The following information was provided by the initial reporter, translated from (b)(6) to english: "very soft needle, poor flow through the needle, poor visibility of the cerebrospinal fluid".
 
Manufacturer Narrative
H6: investigation summary no photos or physical samples that display the reported condition were available for investigation.A device history review was performed for reported lot 1607013, no deviations or non-conformances were identified during the manufacturing process that could have contributed to this issue.Five retained samples of lot 1607013 were used for additional evaluation.The product was visually inspected, no damage or defects was observed on any of the product.Functional evaluations were performed, no friction was noted during the connection of the samples and the needle could smoothly advance through the introducer.Dimensional testing was performed on the retained samples, verifying all critical dimensions are within specification including the internal diameter of both the cannula and the introducer.Product undergoes visual inspections throughout the manufacturing process, verifying no defects on the product.Inspection results were reviewed for the reported lot and no issues were identified.Based on our investigation, we are not able to identify a root cause at this time.See h.10.
 
Event Description
It was reported that the spinal set 26ga 3-1/2in was blocked during use.The following information was provided by the initial reporter, translated from polish to english: "very soft needle, poor flow through the needle, poor visibility of the cerebrospinal fluid".
 
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Brand Name
SPINAL SET 26GA 3-1/2IN
Type of Device
ANESTHESIA CONDUCTION NEEDLE
Manufacturer (Section D)
BECTON DICKINSON, S.A.
cr mequinenza
s/n
fraga, huesca 22520
SP  22520
MDR Report Key10743460
MDR Text Key214798966
Report Number3002682307-2020-00327
Device Sequence Number1
Product Code BSP
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 01/21/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/27/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Expiration Date06/30/2021
Device Catalogue Number405065
Device Lot Number1607013
Was Device Available for Evaluation? No
Date Manufacturer Received01/20/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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