BD MICROTAINER? CONTACT-ACTIVATED LANCET 366592

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-12-07 for BD MICROTAINER? CONTACT-ACTIVATED LANCET 366592 manufactured by Becton Dickinson.

Event Text Entries

[33013973] In this emdr, bd corporate headquarters in (b)(4) has been listed in sections as high tech laboratory is an oem manufacturing site. A sample is available for evaluation. Upon completion of the investigation, a supplemental report will be filed. Device manufacture date: the device was manufactured between 01/22/2015 - 01/27/2015.
Patient Sequence No: 1, Text Type: N, H10


[33013974] It was reported that while using a bd microtainer? Contact-activated lancet a nurse obtained a contaminated needle stick injury because the needle did not retract. There were no reported medical interventions for this incident.
Patient Sequence No: 1, Text Type: D, B5


[35116269] One used sample and five photos of the device were returned for evaluation. A visual inspection of the unit revealed that the needle had retracted. The returned device was disassembled and no defects were observed that would cause the failure of the needle to retract after activation and puncture and no deviations were found with regard to needle protrusion length from the molding, cooperation of the needle with the housing, quality of springs, or correctness of assembly. A reserve sample from the same lot number was tested and all devices made a correct puncture and the needle retracted afterwards. A review of the device history record revealed no irregularities during the manufacture of the reported lot number v7n58a5. Conclusion: an absolute root cause for this incident cannot be determined. However, due to an increasing trend of the number of complaints for needle retraction failure and more frequent accidental needle stick injuries, bd had a teleconference with the oem manufacturer and it was determined that a capa would be opened for this issue. The bd capa number is (b)(4). Additionally, based on the analysis of samples provided by customers of previous complaints, it was determined that the main cause of failure of the needle to retract is too long needle protrusion length from the molding of the complete needle and planned actions are being taken under the capa (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2243072-2015-00163
MDR Report Key5271698
Date Received2015-12-07
Date of Report2016-01-05
Date of Event2015-11-26
Date Mfgr Received2015-11-26
Date Added to Maude2015-12-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactBDX BRETT WILKO
Manufacturer Street9450 SOUTH STATE STREET
Manufacturer CitySANDY UT 84070
Manufacturer CountryUS
Manufacturer Postal84070
Manufacturer Phone8015652845
Manufacturer G1BECTON DICKINSON
Manufacturer Street1 BECTON DRIVE
Manufacturer CityFRANKLIN LAKES NJ 07417
Manufacturer CountryUS
Manufacturer Postal Code07417
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBD MICROTAINER? CONTACT-ACTIVATED LANCET
Generic NameLANCET
Product CodeFKM
Date Received2015-12-07
Catalog Number366592
Lot NumberV7M58A5
OperatorNURSE
Device Availability*
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECTON DICKINSON
Manufacturer Address1 BECTON DRIVE FRANKLIN LAKES NJ 07417 US 07417


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-12-07

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