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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON NEEDLE SPINAL S/SU 25GA 3-1/2IN QUINCKE; NEEDLE, CONDUCTION, ANESTHETIC (W/WO INTRODUCER)

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BECTON DICKINSON NEEDLE SPINAL S/SU 25GA 3-1/2IN QUINCKE; NEEDLE, CONDUCTION, ANESTHETIC (W/WO INTRODUCER) Back to Search Results
Catalog Number 405180
Medical Device Problem Code Complete Blockage (1094)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 12/20/2024
Type of Reportable Event Malfunction
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.The actual date of event is unknown.The date received by manufacturer was entered into the date of event field.
 
Event or Problem Description
Material #: 405180, batch#: unknown.Verbatim: rcc received a complaint via email.Email(s) attached.Requesting if there is change in the quincke spinal needle (ref 405180).States the needle hub was blue in the past and now it is orange.Inquiring when that change was made.Also, states the doctors are having issues using the needles.They have tried several different lots and they state there is a fluid resistance when they inject medications in the needle.
 
Event or Problem Description
No additional information.
 
Additional Manufacturer Narrative
Additional information: initial reporter city.Investigation results: since no samples displaying the condition reported are available for examination, we were unable to fully investigate this incident.No root cause can be determined as no samples were received.The lot number is unknown, therefore device history record review (dhr) or quality notification review (qn) could not be performed.Examination of the product involved may provide clarification as to the cause for the reported failure.We have recently made a change to our 23g and 25g spinal needle handle colorants in order to be in compliant with iso 6009.
 
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Brand Name
NEEDLE SPINAL S/SU 25GA 3-1/2IN QUINCKE
Common Device Name
NEEDLE, CONDUCTION, ANESTHETIC (W/WO INTRODUCER)
Manufacturer (Section D)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
Manufacturer (Section G)
BD CARIBE LTD.
road 31
k.m. 24.3
juncos PR
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key21076441
Report Number2618282-2024-00202
Device Sequence Number8444413
Product Code BSP
UDI-Device Identifier00382904051808
UDI-Public(01)00382904051808
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
PMA/510(K) Number
K210978
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) 01/09/2025
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 Number405180
Device Lot NumberUNKNOWN
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/20/2024
Supplement Date Received by Manufacturer01/09/2025
Initial Report FDA Received Date01/05/2025
Supplement Report FDA Received Date01/13/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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