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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON, S.A. BD PLASTIPAK¿ SYRINGE

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BECTON DICKINSON, S.A. BD PLASTIPAK¿ SYRINGE Back to Search Results
Catalog Number 300629
Device Problems Device Markings/Labelling Problem (2911); Device Contamination with Chemical or Other Material (2944)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 12/12/2018
Event Type  malfunction  
Manufacturer Narrative
Date of event: unknown.Medical device expiration date: unknown.(b)(6).A device evaluation and/or device history review is anticipated, but is not complete.Upon completion, a supplemental report will be filed.Device manufacture date: unknown.
 
Event Description
It was reported that bd plastipak¿ syringe had foreign matter and a scale marking issue.No serious injury or medical intervention was reported.
 
Event Description
It was reported that bd plastipak¿ syringe had foreign matter and a scale marking issue.No serious injury or medical intervention was reported.
 
Manufacturer Narrative
Investigation: two sample units belonging to lot number 1804274 were received for evaluation by our quality engineer.Through visual inspection of the first sample, foreign matter was not observed within the syringe or outside of the syringe.Through visual inspection of the second sample, a polypropylene particle was observed outside of the syringe, within the blister packaging.There were no signs of marking defects on either of the returned samples.A device history record review was performed and it did not reveal any detected quality issues during the production process that could have contributed to this incident.Polypropylene particles result from the molding and transport processes of the syringes.Based on the occurrence rate of this defect for the provided lot number, the acceptance criteria has not been exceeded.Within the assembly station, there is a de-ionizer which works to remove polypropylene particles from within the barrels.A quality project has been opened to reduce the presence of foreign matter inside of the blister packaging.A particle extractor is being installed in the packaging machine within the manufacturing line as part of this project.
 
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Brand Name
BD PLASTIPAK¿ SYRINGE
Type of Device
SYRINGE
Manufacturer (Section D)
BECTON DICKINSON, S.A.
camino de valdeolivia
s/n
san agustin de guadalix
MDR Report Key8199269
MDR Text Key131916363
Report Number3003152976-2018-00566
Device Sequence Number1
Product Code FMF
Combination Product (y/n)N
PMA/PMN Number
N/A
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,other,user facility
Type of Report Initial,Followup
Report Date 03/06/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/27/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number300629
Device Lot NumberUNKNOWN
Date Manufacturer Received12/12/2018
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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