BD PRECISIONGLIDE? NEEDLE 305106

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,other,user facility report with the FDA on 2020-03-20 for BD PRECISIONGLIDE? NEEDLE 305106 manufactured by Bd Medical (bd West) Medical Surgical.

Event Text Entries

[186320084] Investigation summary: no samples were received. Since no samples displaying the condition reported are available for examination, we were unable to fully investigate this incident. A device history record review was completed with zero defects found. No quality notifications were written for this batch, nor for the associated assembly batches. Investigation conclusion: 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. Based on no sample, the investigation concluded, bd was not able to verify the indicated failure. Root cause description: no root cause can? T be determined as no samples were received. Rationale: capa not required at this time.
Patient Sequence No: 1, Text Type: N, H10


[186320085] It was reported that bd precisionglide? Needle was blocked before use. The following information was provided by the initial reporter: on 2020-03-13,the doctor found an injection needle was blocked when using injection needles.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1911916-2020-00280
MDR Report Key9861209
Report SourceFOREIGN,OTHER,USER FACILITY
Date Received2020-03-20
Date of Report2020-03-17
Date of Event2020-03-13
Date Mfgr Received2020-03-14
Device Manufacturer Date2018-11-20
Date Added to Maude2020-03-20
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 Phone8015652341
Manufacturer G1BD MEDICAL (BD WEST) MEDICAL SURGICAL
Manufacturer Street1852 10TH AVENUE
Manufacturer CityCOLUMBUS NE 68601
Manufacturer CountryUS
Manufacturer Postal Code68601
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBD PRECISIONGLIDE? NEEDLE
Generic NameHYPODERMIC SINGLE LUMEN NEEDLE
Product CodeFMI
Date Received2020-03-20
Model Number305106
Catalog Number305106
Lot Number8324761
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBD MEDICAL (BD WEST) MEDICAL SURGICAL
Manufacturer Address1852 10TH AVENUE COLUMBUS NE 68601 US 68601


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-03-20

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