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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BD MEDICAL - DIABETES CARE BD VEO¿ INSULIN SYRINGES WITH BD ULTRA-FINE¿ NEEDLE; PISTON SYRINGE

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BD MEDICAL - DIABETES CARE BD VEO¿ INSULIN SYRINGES WITH BD ULTRA-FINE¿ NEEDLE; PISTON SYRINGE Back to Search Results
Catalog Number 324911
Device Problems Leak/Splash (1354); Failure to Deliver (2338)
Patient Problems Hypoglycemia (1912); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/12/2022
Event Type  malfunction  
Manufacturer Narrative
Date of event is unknown.The date received by manufacturer has been used for this field.A device evaluation is anticipated but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
 
Event Description
T was reported that when taking injection some of the insulin leaks out and numbers have been low from not receiving all of dosage while using bd veo¿ insulin syringes with bd ultra-fine¿ needle.No serious injury reported.The following information was provided by the initial reporter: consumer reported when taking injection, some of the insulin leaks out.Stated, his numbers have been low because he is not getting all of his insulin.
 
Manufacturer Narrative
H.6.Investigation summary: a complaint lot history check was performed on lot # 2031598 for leakage and glucose level.This is the 1st.Related complaint for leakage and glucose level on lot # 2031598.No samples (including photos) were returned therefore the complaint could not be confirmed and the root cause is undetermined.A review of the manufacturing records was performed, and no non-conformances were raised in association with this type of event for this lot.A review of the device history record was completed for batch# 2031598.All inspections and challenges were performed per the applicable operations qc specification.There were zero (0) notifications noted that did not pertain to the complaint.Embecta was not able to duplicate or confirm the customer¿s indicated failure as no samples or photos were returned.Root cause cannot be determined at this time.
 
Event Description
It was reported that when taking injection some of the insulin leaks out and numbers have been low from not receiving all of dosage while using bd veo¿ insulin syringes with bd ultra-fine¿ needle.No serious injury reported.The following information was provided by the initial reporter: consumer reported when taking injection, some of the insulin leaks out.Stated, his numbers have been low because he is not getting all of his insulin.
 
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Brand Name
BD VEO¿ INSULIN SYRINGES WITH BD ULTRA-FINE¿ NEEDLE
Type of Device
PISTON SYRINGE
Manufacturer (Section D)
BD MEDICAL - DIABETES CARE
1329 west highway 6
holdrege NE 68949
Manufacturer (Section G)
BD MEDICAL - DIABETES CARE
1329 west highway 6
holdrege NE 68949
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key15192329
MDR Text Key304960535
Report Number1920898-2022-00531
Device Sequence Number1
Product Code FMF
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K190054
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Consumer
Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date 08/15/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/09/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Catalogue Number324911
Device Lot Number2031598
Was Device Available for Evaluation? No
Date Manufacturer Received08/15/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured01/31/2022
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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