MAUDE Adverse Event Report: BD MEDICAL - DIABETES CARE BD INSULIN SYRINGES WITH BD ULTRA-FINE¿ NEEDLE 8MM X 31G 1ML/CC; PISTON SYRINGE

Catalog Number	328418
Medical Device Problem Code	Failure to Deliver (2338)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	10/04/2023
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
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 or Problem Description
It was reported while using bd insulin syringes with bd ultra-fine¿ needle 8mm x 31g 1ml/cc the medication could not be properly delivered.There was no report of patient impact.The following information was provided by the initial reporter: material#: 328418.Batch#: 3100616.It was reported by the consumer that found 2 that clogged last night and 2 that clogged during injection sometime last week.Informed caller to fill and inject as needed.Don't prefill and store them.Verbatim: consumer comments - prefills syringes 10 at a time.Found 2 that clogged last night and 2 that clogged during injection sometime last week.Informed caller to fill and inject as needed.Don't prefill and store them.Catalog# 328418.Date of event (b)(6) 2023 = 2 syringes.Date of event unknown = 2 syringes last week.Sample status awaiting sample.
Additional Manufacturer Narrative
The following fields have been updated due to additional information: d.9.Device available for eval?: yes.D.9.Returned to manufacturer on: 03nov2023.H.6.Investigation summary: samples were received and an investigation was performed.This is the 1st complaint for the reported lot number.A review of the manufacturing records was performed and no non-conformances were raised in association with this type of event for this lot.Embecta was not able to duplicate or confirm the indicated issue and based on trend analysis no further action is required at this time.Complaints received for this device and reported condition will continue to be tracked and trended.Based on the above, no additional investigation and corrective/preventative action (capa) or situational analysis (sa) is required.
Event or Problem Description
It was reported while using bd insulin syringes with bd ultra-fine¿ needle 8mm x 31g 1ml/cc the medication could not be properly delivered.There was no report of patient impact.The following information was provided by the initial reporter: material#: 328418.Batch#: 3100616.It was reported by the consumer that found 2 that clogged last night and 2 that clogged during injection sometime last week.Informed caller to fill and inject as needed.Don't prefill and store them.Verbatim: consumer comments - prefills syringes 10 at a time.Found 2 that clogged last night and 2 that clogged during injection sometime last week.Informed caller to fill and inject as needed.Don't prefill and store them.Catalog# 328418.Date of event (b)(6) 2023 = 2 syringes.Date of event unknown = 2 syringes last week.Sample status awaiting sample.

• Brand Name: BD INSULIN SYRINGES WITH BD ULTRA-FINE¿ NEEDLE 8MM X 31G 1ML/CC
• Common Device Name: 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: jennifer suh ; 9450 south state street; sandy, UT 84070 ; 8448235433
• MDR Report Key: 17936572
• Report Number: 1920898-2023-00715
• Device Sequence Number: 6368597
• Product Code: FMF
• UDI-Device Identifier: 00382908418034
• UDI-Public: (01)00382908418034
• Combination Product (Y/N): N
• Initial Reporter State: IL
• Initial Reporter Country: US
• PMA/510(K) Number: K024112
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Other,Consumer
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 11/02/2023

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
• Operator of Device: Other
• Device Catalogue Number: 328418
• Device Lot Number: 3100616
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 10/05/2023
• Supplement Date Received by Manufacturer: 02/08/2024
• Initial Report FDA Received Date: 10/13/2023
• Supplement Report FDA Received Date: 02/12/2024
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 04/10/2023
• 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