MAUDE Adverse Event Report: CARDINAL HEALTH 27G X 1 1 4 A ALUM HUB RP; NEEDLE, HYPODERMIC, SINGLE LUMEN

Model Number	8881200508
Medical Device Problem Code	Fluid/Blood Leak (1250)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
An investigation is currently underway.Upon completion, the results will be forwarded.
Event or Problem Description
The customer reported that two podiatrists are having issues with the yellow 27 gauge needles.They have had several that leak.On (b)(6) 2024 the customer stated that one provider stated that they can only recall 1 or 2 instances of leaking at the level of the luer lock.
Event or Problem Description
The customer reported that two podiatrists are having issues with the yellow 27 gauge needles.They have had several that leak.On (b)(6) 2024 the customer stated that one provider stated that they can only recall 1 or 2 instances of leaking at the level of the luer lock.Additional information received on 06mar2024 stated that it seems like it is leaking from the needle hub.They are using bd plastipak 3 ml syringe luer-lock tip, lot 3321046.Item number unknown.The issue is occurring when injecting.No harm other than the patient getting poked a second time.
Additional Manufacturer Narrative
Based on the information available to us, we were unable to confirm the event.In the meantime, all information received will be used for further tracking and trending purposes.

• Brand Name: 27G X 1 1 4 A ALUM HUB RP
• Common Device Name: NEEDLE, HYPODERMIC, SINGLE LUMEN
• Manufacturer (Section D): CARDINAL HEALTH; 777 west street; mansfield MA 02048
• Manufacturer (Section G): CARDINAL HEALTH; 2010 east international speedw; deland FL 32724
• Manufacturer Contact: jill saraiva ; 777 west street; mansfield, MA 02048 ; 5086183640
• MDR Report Key: 18848064
• Report Number: 1017768-2024-00010
• Device Sequence Number: 7457444
• Product Code: FMI
• UDI-Device Identifier: 30884521008704
• UDI-Public: 30884521008704
• Combination Product (Y/N): N
• Initial Reporter State: MN
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: User Facility,Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 06/18/2024

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 Model Number: 8881200508
• Device Catalogue Number: 8881200508
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 02/14/2024
• Supplement Date Received by Manufacturer: 02/14/2024; Not provided
• Initial Report FDA Received Date: 03/06/2024
• Supplement Report FDA Received Date: 03/06/2024; 06/18/2024
• Was Device Evaluated by Manufacturer? (Y/N): Device Not Returned to Manufacturer
• Is the Device Labeled for Single Use? (Y/N): Yes
• Usage of Device: A
• Patient Sequence Number: 1
• Patient Sex: Unknown