MAUDE Adverse Event Report: BECTON DICKINSON NEEDLE 18X1-1/2 RB; NEEDLE, HYPODERMIC, SINGLE LUMEN

Catalog Number	305196
Medical Device Problem Code	Device Contamination with Chemical or Other Material (2944)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	07/31/2024
Type of Reportable Event	Malfunction
Event or Problem Description
Material: 305196.Batch#: 4093950.It was reported by the customer that a team member went to use a sterile 18g needle, upon opening the wrapper and uncapping the needle, the needle looked visibly dirty.It was not used in any way besides opening the wrapper.Verbatim: rcc received a complaint via email.On (b)(6) 2024, a team member went to use a sterile 18g needle, upon opening the wrapper and uncapping the needle, the needle looked visibly dirty.It was not used in any way besides opening the wrapper.Lot and exp date are attached in the pictures.Let us know if you would like this needle sent out for further investigation or if it should be properly disposed of.Product number - 305196.Lot number - 4093950.
Additional Manufacturer Narrative
Initial mdr submission.A follow up mdr will be submitted if additional information, a device evaluation, or a device history review is completed.
Event or Problem Description
Additional information received any adverse event or serious injury reported to patient or healthcare professional? if yes, please provide the details.No, a new needle was used material: 305196 batch#: 4093950 it was reported by the customer that a team member went to use a sterile 18g needle, upon opening the wrapper and uncapping the needle, the needle looked visibly dirty.It was not used in any way besides opening the wrapper.Verbatim: rcc received a complaint via email.Email(s) attached on 7/31/24, a team member went to use a sterile 18g needle, upon opening the wrapper and uncapping the needle, the needle looked visibly dirty.It was not used in any way besides opening the wrapper.Lot and exp date are attached in the pictures.Let us know if you would like this needle sent out for further investigation or if it should be properly disposed of.Product number - 305196.Lot number - 4093950.
Additional Manufacturer Narrative
Pr (b)(4) follow up for device evaluation it was reported the needle looked visibly dirty.To aid in the investigation, one sample in an opened packaging blister and two photos were provided for evaluation by our quality team.A visual inspection was performed.First, with 10x magnification, and then with 30x magnification.No defects, imperfections or foreign matter of any kind was observed.The two photos provided show the sample received.A device history record review was completed for provided material number 305196, lot 4093950.The review did not reveal any detected quality issues during the production of this lot that could have contributed to the reported defect.There were no related quality notifications.All processes and final inspections complied with specification requirements.To date, there have been no other similar events reported for this lot.Based on the investigation and with the returned sample analysis the symptom reported by the customer could not be confirmed.

• Brand Name: NEEDLE 18X1-1/2 RB
• Common Device Name: NEEDLE, HYPODERMIC, SINGLE LUMEN
• Manufacturer (Section D): BECTON DICKINSON; 1 becton drive; franklin lakes NJ 07417
• Manufacturer (Section G): BD MEDICAL (BD WEST) MEDICAL SURGICAL; 1852 10th avenue; columbus NE 68601
• Manufacturer Contact: helen cox (mdr) ; 75 north fairway drive; vernon hills, IL 60061 ; 8473935694
• MDR Report Key: 19907702
• Report Number: 1911916-2024-00568
• Device Sequence Number: 20626529
• Product Code: FMI
• UDI-Device Identifier: 30382903051961
• UDI-Public: (01)30382903051961
• Combination Product (Y/N): N
• Initial Reporter State: NJ
• Initial Reporter Country: US
• PMA/510(K) Number: K021475
• Number of Events Summarized: 1
• 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): 08/24/2024

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 Number: 305196
• Device Lot Number: 4093950
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 08/01/2024
• Supplement Date Received by Manufacturer: 08/24/2024
• Initial Report FDA Received Date: 08/05/2024
• Supplement Report FDA Received Date: 08/26/2024
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 04/02/2024
• Is the Device Labeled for Single Use? (Y/N): Yes
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown