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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON AND COMPANY (BD) BD PRESET¿ ECLIPSE¿ ARTERIAL BLOOD COLLECTION SYRINGE; TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION

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BECTON, DICKINSON AND COMPANY (BD) BD PRESET¿ ECLIPSE¿ ARTERIAL BLOOD COLLECTION SYRINGE; TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION Back to Search Results
Catalog Number 364391
Medical Device Problem Code Volume Accuracy Problem (1675)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/06/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported when using the bd preset¿ eclipse¿ arterial blood collection syringe, the needles are blunt and short, as well as insufficient blood flow in an unspecified number of syringes.There were no health impact or consequences reported.
 
Additional Manufacturer Narrative
Investigation summary: bd had not received samples or photos for investigation.Therefore, (b)(4) retention samples from bd inventory were evaluated by visual examination and functional draw testing and no issues were observed relating to dull needle point, short needle length, or insufficient blood flow as all samples met specifications.Based on a review of the device history record for the incident lot, all product specifications and requirements for lot release were met.There were no related quality issues during manufacturing of the product.This complaint is unable to be confirmed for the indicated failure modes dull needle point, short needle length, or insufficient blood flow.Bd was not able to identify a root cause for the indicated failure modes.Complaints received for this device and reported condition will continue to be tracked and trended.Our business team regularly reviews the collected data for identification of emerging trends.
 
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Brand Name
BD PRESET¿ ECLIPSE¿ ARTERIAL BLOOD COLLECTION SYRINGE
Common Device Name
TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION
Manufacturer (Section D)
BECTON, DICKINSON AND COMPANY (BD)
belliver way
belliver industrial estate
plymouth
UK 
Manufacturer (Section G)
BECTON, DICKINSON AND COMPANY (BD)
belliver way
belliver industrial estate
plymouth
UK  
Manufacturer Contact
jo doyka
7 loveton circle
sparks, MD 21152
4103164000
MDR Report Key20412123
Report Number9617032-2024-01634
Device Sequence Number7920238
Product Code JKA
UDI-Device Identifier50382903643917
UDI-Public(01)50382903643917(11)230517(17)250531(10)3137193
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K202446
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 09/19/2024
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 Other
Device Expiration Date05/31/2025
Device Catalogue Number364391
Device Lot Number3137193
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/10/2024
Initial Report FDA Received Date10/09/2024
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/17/2023
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 Number1
Patient SexUnknown
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