Alerta De Seguridad para BD VACUTAINER BRAND LUER ADAPTER - Registered in Anvisa under the number 10033430348 - AFFECTED LOTS: Until May / 2013: 2051816; 2061437; 2061438; 2061448; 2061449; 2108592; 2121718; 2123785; 2123786; 2199845; 2213779; 2226823; 2263906; 2277686; 2277687; 2311696; 2311698; 2319540; 2332684; 2333888; 2342733; 3017549; 3030976. See annex: http://portal.anvisa.gov.br/wps/wcm/connect/8ce775004fbab18bb190f59a71dcc661/AnexoII_MensagemdeAlerta.pdf?MOD=AJPERES

Según Agência Nacional de Vigilância Sanitária (ANVISA), este evento ( alerta de seguridad ) involucró a un dispositivo médico en Brazil que fue producido por BECTON DICKINSON INDÚSTRIAS CIRÚRGICAS LTDA.

¿Qué es esto?

Las alertas proporcionan información importante y recomendaciones sobre los productos. Aunque se haya emitido una alerta, esto no significa necesariamente que el producto se considera peligroso. Las alertas de seguridad, dirigidas a trabajadores de la salud y a usuarios, pueden incluir retiro de equipos. Pueden ser escritas por los fabricantes, pero también por funcionarios del área de salud.

Más información acerca de la data acá
  • Tipo de evento
    Safety alert
  • ID del evento
    1262
  • Fecha
    2013-05-23
  • País del evento
  • Fuente del evento
    ANVISA
  • URL de la fuente del evento
  • Notas / Alertas
    Brazilian data is current through June 2018. All of the data comes from Anvisa, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of data from the U.S. and Brazil.
  • Notas adicionales en la data
    BD Vacutainer Brand Luer Adapter is a noninvasive product used to attach venous access devices such as needles, scalpels and catheters to blood collection tubes. The BD through the monitoring of market complaints in the world triggered an investigative analysis associated with the function of the rubber sleeve and the luer connector. In case of leakage, the risk of exposure to blood is mitigated through the use of universal precautionary techniques. If the health professional is not adopting such techniques, there could be contact with the blood. If the blood was from a patient who is a source of pathogens, tests may be needed to rule out viral transmission and prophylaxis - in the case of HBV or HIV - with vaccines and medications. This situation associated with the occurrence rate (12.01 per 1,000,000 devices) results in an acceptable risk index. Exposure would very rarely result in viral transmission, since according to the literature this almost never occurs through exposure of non-intact skin and rarely via mucosa. Thus, the probability of acquiring a disease such as AIDS or chronic hepatitis is very low and unlikely (0.0123 per 1,000,000) and therefore the resulting risk score is acceptable. The risk of low aspiration volume in coagulation tubes is mitigated by discarding of the tube when observed leakage or by rejection of the samples collected in these tubes, since laboratory guidelines and instructions specify that collections with less than 10% of the nominal volume do not should be tested for coagulation assays. The low volume of aspiration in coagulation tubes could affect the precision of the results and possibly influence the medical analysis. In this event, the probability of a treatment being influenced is very low and unlikely (0.145 per 1,000,000) and therefore, the resulting risk score is acceptable. To date, no technical complaints or adverse events related to the product have been reported in NOTIVISA. ////// UPDATE ON 05/27/2014 - The company forwarded a form to complete this field action, ending the process of communication with customers for this security action.
  • Causa
    The gray rubber sleeve that covers the cannula inside the holder detaches itself from the cannula or allows the leaking of small amounts of blood during the multiple collection of tubes. there are also some reports that blood collection tubes may not be filled with the proper volume of blood due to damage at the tip of the luer connection. see annex: http://portal.Anvisa.Gov.Br/wps/wcm/connect/8ce775004fbab18bb190f59a71dcc661/anexoii_mensagemdealerta.Pdf?mod=ajperes.
  • Acción
    BD advised customers who purchased the product by letter to reinforce the importance of adopting universal precaution techniques to minimize the risk of blood exposure and to check for any evidence of blood leakage at the tip of the adapter luer connection. If leakage is observed, users are advised to: - discard filled tubes as they may contain lower blood volume (low aspiration), - replace the Luer adapter unit that is being used by another unit, and - continue to collect blood samples using the other unit. In addition, BD provided the free telephone service on 0800 055 5654, Ramal 9622 and e-mail consultor_vacutainer@bd.com, answered by a health professional in order to clarify any possible doubts to its clients.

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