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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BD MEDICAL - DIABETES CARE BD ULTRA-FINE¿ II SHORT NEEDLE INSULIN SYRINGE; PISTON SYRINGE

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BD MEDICAL - DIABETES CARE BD ULTRA-FINE¿ II SHORT NEEDLE INSULIN SYRINGE; PISTON SYRINGE Back to Search Results
Catalog Number 326725
Device Problem Contamination (1120)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/23/2023
Event Type  malfunction  
Manufacturer Narrative
B.3.Date of event is unknown; awareness date has been used for this field.D.4.Medical device expiration date: unknown h.4.Device manufacture date: unknown h.3.A device evaluation and/or device history review is anticipated but is not complete.Upon completion, a supplemental report will be filed.
 
Event Description
It was reported while using bd ultra-fine¿ ii short needle insulin syringe foreign matter compromised sterility.This occurred 5 times.There was no report of patient impact.The following information was provided by the initial reporter: i bought a total of 5x boxes of needles in shopee thailand (bd ultra-fine ii short needle 0.5 ml 100 's 30gx8mm) and i got dirty needles.I have no idea how you can reach out to this seller, but they should stop selling dirty needles because this is a serious matter.I always bought those needles and only these batches, i also ordered from different suppliers/sellers but they look the same, so i guess your company has a problem with it.This is the photo you can see inside it has moist in it.I notice that even i order from other sellee are the same.And i dont know what's inside.It's all contaminated.
 
Event Description
It was reported while using bd ultra-fine¿ ii short needle insulin syringe foreign matter compromised sterility.This occurred 5 times.There was no report of patient impact.The following information was provided by the initial reporter: i bought a total of 5x boxes of needles in shopee thailand (bd ultra-fine ii short needle 0.5 ml 100 's 30gx8mm) and i got dirty needles.I have no idea how you can reach out to this seller, but they should stop selling dirty needles because this is a serious matter.I always bought those needles and only these batches, i also ordered from different suppliers/sellers but they look the same, so i guess your company has a problem with it.This is the photo you can see inside it has moist in it.I notice that even i order from other sellee are the same.And i dont know what's inside.It's all contaminated.
 
Manufacturer Narrative
H6: investigation summary no samples were returned therefore the investigation is performed based on the photos provided.The customer provided (4) photos of 0.5ccm 30ga 8mm syringe, reporting foreign matter.The photos were visually examined, and no issues were observed.Based on the photos provided, embecta was not able to confirm the reported failure.Due to the batch being unknown, no dhr review can be completed.
 
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Brand Name
BD ULTRA-FINE¿ II SHORT NEEDLE INSULIN SYRINGE
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
8448235433
MDR Report Key16729192
MDR Text Key313227800
Report Number1920898-2023-00219
Device Sequence Number1
Product Code FMF
Combination Product (y/n)N
Reporter Country CodeTH
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Consumer
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 07/20/2023
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
Device Operator Other
Device Catalogue Number326725
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 03/23/2023
Initial Date FDA Received04/12/2023
Supplement Dates Manufacturer Received07/20/2023
Supplement Dates FDA Received08/08/2023
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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