inforMED
MalfunctionQTI

SYRINGE 10ML SALINE POSIFLUSH SAFESCRUB

Received Dec 26, 2024 · Event occurred Nov 14, 2024

Report 1911916-2024-00948 · MDR key 21019276

Device

Generic name

Saline Vascular Access Flush With Integrated Alcohol Disinfectant Device

Manufacturer

Becton Dickinson

Catalog number

303191

Lot number

4229948

Product problems

  • Detachment of Device or Device Component
  • Detachment of Device or Device Component

Patient

52 YR · Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

INITIAL MDR SUBMISSION. A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED.

Description of Event or Problem

DESCRIPTION DETAILS: ENTIRE SPONGE (FOAM) DISLODGES DURING SCRUBBING. FOAM FELL OUT AFTER SCRUBBING WAS AN ADVERSE EVENT ASSOCIATED WITH DEVICE DEFICIENCY? NO.

Additional Manufacturer Narrative

(B)(4) FOLLOW UP: A DEVICE HISTORY RECORD REVIEW WAS COMPLETED BY OUR QUALITY ENGINEER TEAM FOR PROVIDED MATERIAL NUMBER 303191 AND LOT NUMBER 4229948. THE REVIEW DID NOT REVEAL ANY DETECTED ABNORMALITIES DURING THE PRODUCTION PROCESS THAT COULD HAVE CONTRIBUTED TO THIS DEFECT AND ALL QUALITY TESTS WERE FOUND TO BE WITHIN SPECIFICATION. AS A SAMPLE WAS UNAVAILABLE FOR RETURN, A THOROUGH SAMPLE INVESTIGATION COULD NOT BE COMPLETED. BASED ON THE INVESTIGATION RESULTS, AN EXACT CAUSE FOR THIS INCIDENT COULD NOT BE IDENTIFIED. SHOULD YOU AGAIN EXPERIENCE ANY PROBLEMS WITH OUR PRODUCT WE WOULD APPRECIATE THE OPPORTUNITY TO CONDUCT A THOROUGH ANALYSIS. THERE ARE QUALITY CONTROLS CURRENTLY IN PLACE TO DETECT THIS TYPE OF DEFECT DURING THE PRODUCTION PROCESS. FURTHER ACTION HAS NOT BEEN DETERMINED NECESSARY AT THIS TIME.

Description of Event or Problem

NO ADDITIONAL INFORMATION RECEIVED.