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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON, S.A. BD SYRINGE WITH NEEDLE

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BECTON DICKINSON, S.A. BD SYRINGE WITH NEEDLE Back to Search Results
Catalog Number 301940
Device Problem Material Discolored (1170)
Patient Problem No Information (3190)
Event Date 04/04/2019
Event Type  malfunction  
Manufacturer Narrative
A device evaluation and/or device history review is anticipated, but is not complete.Upon completion, a supplemental report will be filed.
 
Event Description
It was reported that bd syringe¿ with needle package was discolored before use.No serious injury or medical intervention was reported.The following information was provided by the initial reporter: it was found the package discolored before using.There are several products in every two boxes with this problem.
 
Manufacturer Narrative
Investigation: bd has reviewed our production and inspection records and have established that all production and quality processes were carried out normally.Neither qn nor ncmr's.Bd has been provided with a picture of the affected samples.After analyzing the picture of the affected sample provided to the manufacturing site for evaluation, we could see the reported yellowed film of the blister and confirm the reported issue.The burnt film was produced in the sealing die during the primary packaging process.The sealing process works with temperatures around 150ºc, for that reason there is a water refrigeration system to avoid damaging the unit package.We conclude that a punctual failure in that system, produced an ineffective refrigeration of the sealing die, so during a stoppage of the machine, the film of the blister gets burnt and produced the reported issue.
 
Event Description
It was reported that bd syringe¿ with needle package was discolored before use.No serious injury or medical intervention was reported.The following information was provided by the initial reporter: it was found the package discolored before using.There are several products in every two boxes with this problem.
 
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Brand Name
BD SYRINGE WITH NEEDLE
Type of Device
SYRINGE WITH NEEDLE
Manufacturer (Section D)
BECTON DICKINSON, S.A.
cr mequinenza
s/n
fraga
MDR Report Key8540051
MDR Text Key142903572
Report Number3002682307-2019-00258
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,health professional,o
Type of Report Initial,Followup
Report Date 04/29/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Other
Device Expiration Date02/28/2023
Device Catalogue Number301940
Device Lot Number1803215
Initial Date Manufacturer Received 04/08/2019
Initial Date FDA Received04/23/2019
Supplement Dates Manufacturer Received04/08/2019
Supplement Dates FDA Received04/29/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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