MAUDE Adverse Event Report: TERUMO PHILIPPINES CORPORATION TERUMO SURGUARD2 SAFETY HYPODERMIC NEEDLE; SYRINGE, ANTISTICK

Model Number	N/A
Medical Device Problem Code	Tear, Rip or Hole in Device Packaging (2385)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	10/04/2022
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that two (2) terumo surguard2 needles had a perforation in a blister on the printer side were found after visually checking (b)(4) needle pouches.The first perforated blister was initially found during an in-process control (ipc) of the packed product.The second perforated blister was found during a sample test of (b)(4) unprocessed needle pouches.The sample was received on (b)(6) 2022.Based on the actual sample evaluation the hole on blister affecting sterility is not visible to the user hence, probability of using unsterile product is high.This event occurred pre-treatment.No patient involvement.
Additional Manufacturer Narrative
Occupation: supplier quality specialist.Two pieces of the actual sample with product code sg2+2238 and lot number combination 220317b were received for evaluation.Both samples were not visible to confirmed to have a hole in the blister packaging.To further evaluate the returned samples, the top film of the blister packaging of both samples were viewed under 100x magnification respectively.The following observations were noted on the samples: (i) sample one (1) observation was a hole and dents were on the top film; (ii) sample two (2) observation was a scratch, hole, and dents.Retention samples were visually checked and confirmed free from any damage or holes on the blister package.Complaint file trend for damage to package for sg products covering the fiscal year 2021 to 2022 (april 2021 to october 2022) showed 10 occurrences of damage to packaging complaints or holes on blisters specific for sg2+2238 and sg3+2713 for pfizer market since june 2021.The identified cause is the same from the previous complaints.Based on the results of our investigation, the damage or hole in the blister package is due to the less air inside the blister package, the cushion between the film and needle (having a sharp edge/part of the molded component) becomes less, therefore, piercing (or having a dent) of the blister film is likely to happen due to product-to-product contact.It was observed that the hole on the packaging was also aggravated by additional product handling that may create further damage to the blister packaging.Based on the design of the sg2 packaging machine, the installation of a vacuum system is not feasible, therefore, the focus of the improvement is on the integrity of the blister related to the qualification of new blister packaging material as alignment to sg3.Target implementation is in may 2024.Since the corrective action of changing the film is not yet implemented, there is a likelihood of a similar hole on the blister to encountered during handling.Therefore, 100% visual inspection by tpc before shipment will continue until the use of the new film material.This reported event has been reassessed and deemed reportable based upon the investigation of the actual sample.This report is for the second device (second sample) found, for the first device, please see mdr 3003902955-2022-00054.Terumo medical products (tmp) (importer) registration no.(b)(4) is submitting this report on behalf of terumo (philippines) corporation (manufacturer) registration no.(b)(4).

• Brand Name: TERUMO SURGUARD2 SAFETY HYPODERMIC NEEDLE
• Common Device Name: SYRINGE, ANTISTICK
• Manufacturer (Section D): TERUMO PHILIPPINES CORPORATION; 124 east main avenue; laguna technopark; binan, ; RP
• Manufacturer (Section G): TERUMO PHILIPPINES CORPORATION; 124 east main avenue; laguna technopark; binan, laguna,, ; RP
• Manufacturer Contact: gina digioia ; 265 davidson ave; suite 320; somerset, NJ 08873 ; 6402040886
• MDR Report Key: 15794248
• Report Number: 3003902955-2022-00053
• Device Sequence Number: 3010755
• Product Code: MEG
• UDI-Device Identifier: 34806017507085
• UDI-Public: 34806017507085
• Combination Product (Y/N): N
• Initial Reporter Country: BE
• PMA/510(K) Number: K051865
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Other,Foreign,Company Representative
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial
• Report Date (Section B): 11/14/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Other
• Device Model Number: N/A
• Device Catalogue Number: SG2+2238
• Device Lot Number: 220317B
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 10/24/2022
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 10/24/2022
• Initial Report FDA Received Date: 11/14/2022
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 03/17/2022
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown