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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON MEDICAL (SINGAPORE) BD VENFLON PRO SAFETY SHIELDED IV CATHETER; INTERVASCULAR CATHETER

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BECTON DICKINSON MEDICAL (SINGAPORE) BD VENFLON PRO SAFETY SHIELDED IV CATHETER; INTERVASCULAR CATHETER Back to Search Results
Catalog Number 393227
Device Problem Leak/Splash (1354)
Patient Problem Hemorrhage/Bleeding (1888)
Event Date 05/20/2021
Event Type  malfunction  
Manufacturer Narrative
Device expiration date: unknown.Device manufacture date: unknown.Investigation summary: there was no sample or photo provided to bd for evaluation.Therefore, bd was unable to perform a thorough investigation to verify the reported issue.A device history record could not be evaluated as the lot number is unknown.Though the incident could not be confirmed based on this complaint, bd is aware of this issue and is in the process of implementing corrective actions to improve the customer and patient experience.This event has been added to our complaint database.Our business team regularly reviews the collected data for identification of emerging trends.Investigation conclusion: as no sample and no photo was returned, a review of past 12 months quality notification was performed.No similar quality notification was raised for the reported defect.Based on the verbatim, the probable root cause for the reported condition of this complaint could be due to valve issue that was related to eto sterilization.Capa#1379444 and product recall was initiated for vps product sterilized using eto.However as the batch number is unknown for this complaint, the root cause cannot be confirm.Complaint trend would be monitored.Complaint will be reopened when sample is returned.
 
Event Description
It was reported that the bd venflon¿ pro safety shielded iv catheter experienced leakage.The following information was provided by the initial reporter: the green 18g bd venflon iv cannula applied on the patient arm started to leak the blood through the valve.Approximately 50ml blood was bled from the patient.It was not noticeable at the time of insertion and fixation with dressings.Upon noticing the bleeding, the cannula removed and replaced with a new cannula.
 
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Brand Name
BD VENFLON PRO SAFETY SHIELDED IV CATHETER
Type of Device
INTERVASCULAR CATHETER
Manufacturer (Section D)
BECTON DICKINSON MEDICAL (SINGAPORE)
30 tuas avenue 2
singapore
Manufacturer (Section G)
BECTON DICKINSON MEDICAL (SINGAPORE)
30 tuas avenue 2
singapore
Manufacturer Contact
katie swenson
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key12104873
MDR Text Key264641194
Report Number8041187-2021-00558
Device Sequence Number1
Product Code FOZ
Combination Product (y/n)N
Reporter Country CodeUK
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,other,user facility
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 06/21/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/01/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number393227
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received06/04/2021
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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