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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON MEDICAL SYSTEMS INTERLINK LUER-LOK; NEEDLE, HYPODERMIC, SINGLE LUMEN

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BECTON DICKINSON MEDICAL SYSTEMS INTERLINK LUER-LOK; NEEDLE, HYPODERMIC, SINGLE LUMEN Back to Search Results
Catalog Number 303393
Medical Device Problem Code Labelling, Instructions for Use or Training Problem (1318)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/18/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the bd syringe 10ml ll w/twinpak device label content was incorrect.The following information was provided by the initial reporter: material#: 303393.Batch#: 5065846.Verbatim: rcc received a complaint via email.Chc complaint reference #: (b)(4).Hospital complaint reference #: (b)(4).Cat# of product being complained: bd303393 description of product: syringe 10cc w/cannula st intlink 100ea/bx 4bx/ca.Lot or s/n: (b)(6) complaint category: labelling issue.Reportable: no.Incident date: (b)(6) 2025.Hospital complaint reference #: (b)(4) details of complaint (reported issue): "xx came in boxes that say they are 10ml syringes, the packaging of the syringes says they are 5ml syringes, and the syringe inside the packaging is a 10ml".Please note: incident date & quantity of product affected is unknown.Complaint noticed: prior to use.Problem frequency: a few times.Customer exposure: patient injury: no.Has health canada been informed? unknown.Qty affected: 1 bx.Samples available? yes.Is customer requesting an rga? no.Return qty: qty samples: 1 bx.
 
Additional Manufacturer Narrative
H.3.If a device evaluation and/or device history review is completed, a supplemental report will be filed.
 
Additional Manufacturer Narrative
(b)(4) - supplemental mdr - label content incorrect.One thousand twenty-three samples of 10ml twinpak syringes (material 303393) from batch 5065846 were evaluated.All samples arrived in sealed packages without box cartons.Among them, three packages contained 3ml syringes, which are not relevant to the reported complaint, and one package contained a conforming 10ml syringe with no defects.The remaining one thousand nineteen packages contained 10ml syringes but were incorrectly labeled with 5ml top web packaging.The condition observed is non-conforming per product specification.Potential root cause for the incorrect top web defect is associated with the packaging process.A corrective and preventive action (capa) will be initiated to address the issue and prevent recurrence.Furthermore, a device history record review was completed for provided lot number 5065846.A review showed no rejected inspections or quality issues during the production that could have contributed to the reported defect.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
INTERLINK LUER-LOK
Common Device Name
NEEDLE, HYPODERMIC, SINGLE LUMEN
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 Key22425611
Report Number1213809-2025-00458
Device Sequence Number3164122
Product Code FMI
UDI-Device Identifier00382903033935
UDI-Public(01)00382903033935(17)300228(10)5065846
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K974006
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 07/30/2025
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 Number303393
Device Lot Number5065846
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 06/18/2025
Supplement Date Received by Manufacturer07/30/2025
Initial Report FDA Received Date07/07/2025
Supplement Report FDA Received Date08/01/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/06/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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