MAUDE Adverse Event Report: CAREFUSION, INC ILLINOIS NEEDLE BONE MARROW 15G ADJ LEN; BONE BIOPSY NEEDLE

Catalog Number DIN1515X

Device Problem Unsealed Device Packaging (1444)

Patient Problems No Patient Involvement (2645); Not Applicable (3189)

Event Date 10/12/2017

Event Type  malfunction  

Manufacturer Narrative

(b)(4) follow up submission will be completed post investigation or if additional information becomes available.(b)(4).

Event Description

Open packages were found during inspection conducted by (b)(6).

Manufacturer Narrative

(b)(4) upon further evaluation it has been determined this event did not meet the requirements for emdr reporting.As the issue reported was found and received while product was still in control of bd.To date, bd has not received any further reports from direct customers with this failure.Bd is performing further investigation on this internal finding.Bd will continue to monitor and provide follow up emdr as applicable.

• Brand Name: ILLINOIS NEEDLE BONE MARROW 15G ADJ LEN
• Type of Device: BONE BIOPSY NEEDLE
• Manufacturer (Section D): CAREFUSION, INC; zona franca las americas; santo domingo
• Manufacturer (Section G): CAREFUSION, INC; zona franca las americas; santo domingo
• Manufacturer Contact: anna wehrheim ; zona franca las americas; santo domingo
• MDR Report Key: 6988612
• MDR Text Key: 91224985
• Report Number: 9680904-2017-00216
• Device Sequence Number: 1
• Product Code: FSH
• Combination Product (y/n): N
• Reporter Country Code: JA
• PMA/PMN Number: K813338
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative,other
• Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date: 02/08/2018

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 10/30/2017
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Other
• Device Catalogue Number: DIN1515X
• Device Lot Number: 1091869
• Is the Reporter a Health Professional?: No
• Date Manufacturer Received: 10/12/2017
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Outcome(s): Other