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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON MEDICAL SYSTEMS BD SAFETYGLIDE; SAFETYGLIDE NEEDLES

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BECTON DICKINSON MEDICAL SYSTEMS BD SAFETYGLIDE; SAFETYGLIDE NEEDLES Back to Search Results
Catalog Number 306616
Medical Device Problem Code Defective Component (2292)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/21/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the bd safetyglide safety mechanism was difficult to activate.The following information was provided by the initial reporter: it was reported by customer that the product needle and safety mechanism is flimsy.Verbatim: rcc received a complaint via email.Email(s) attached.Product needle and safety mechanism is flimsy.Staff feels strongly these will increase chances of needle stick when trying to initiate safety.Lot#: 3292199 product: needle, sfty 192-n251s preventsg org 25gx1".
 
Additional Manufacturer Narrative
The date received by manufacturer has been used for this field.If a device evaluation and/or device history review is completed, a supplemental report will be filed.
 
Additional Manufacturer Narrative
One photo of a safetyglide needle was received by bd.A quality engineer was able to examine the photo from batch 3292199 regarding item 306616.The image shows a packaging blister top web, and two needle assemblies out of the packaging blister and with no plastic shield.One of the needle assemblies has the safety mechanism activated and the other one does not have it activated.No defects or imperfections were observed.Based on the investigation and with the photo sample analysis the symptom reported by the customer could not be confirmed.We will continue monitoring the complaint trend for the product and symptom.With no physical sample analysis, a probable root cause could not be offered.A device history record review was completed for provided lot number 3292199 showing no rejected inspections or quality issues during the production of the provided lot number that could have contributed to the reported defect.We appreciate you taking the time to bring this observation to our attention.Complaints received for this device and reported condition will continue to be tracked and trended.Information will be captured on trend reports and monitored monthly.Our business team regularly reviews the collected data for identification of emerging trends.
 
Event or Problem Description
No additional information was provided.
 
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Brand Name
BD SAFETYGLIDE
Common Device Name
SAFETYGLIDE NEEDLES
Manufacturer (Section D)
BECTON DICKINSON MEDICAL SYSTEMS
route 7 and grace way
canaan CT 06018
Manufacturer (Section G)
BECTON DICKINSON MEDICAL SYSTEMS
route 7 and grace way
canaan CT 06018
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key19089580
Report Number1213809-2024-00219
Device Sequence Number17917098
Product Code FMI
UDI-Device Identifier10612479262598
UDI-Public(01)10612479262598
Combination Product (Y/N)N
Initial Reporter StateCO
Initial Reporter CountryUS
PMA/510(K) Number
K951254
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 11/05/2024
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
Operator of Device Health Professional
Device Catalogue Number306616
Device Lot Number3292199
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/21/2024
Supplement Date Received by Manufacturer11/05/2024
Initial Report FDA Received Date04/11/2024
Supplement Report FDA Received Date11/07/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/19/2023
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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