Safety Alert for BD Epilor LOR syringe 7 ml with Luer-Lok nozzle, registration no. 10033430533 - Lots - attachment

According to Agência Nacional de Vigilância Sanitária (ANVISA), this safety alert involved a device in Brazil that was produced by BECTON DICKINSON INDÚSTRIAS CIRÚRGICAS LTDA..

What is this?

Alerts provide important information and recommendations about products. Even though an alert has been issued, it does not necessarily mean a product is considered to be unsafe. Safety Alerts, addressed to health workers and users, may include recalls. They can be written by manufacturers, but also by health officials.

Learn more about the data here
  • Type of Event
    Safety alert
  • Event ID
    1299
  • Date
    2013-09-04
  • Event Country
  • Event Source
    ANVISA
  • Event Source URL
  • Notes / Alerts
    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.
  • Extra notes in the data
    If the user does not detect the loss of resistance of the syringe due to the slip with greater resistance that the plunger may present, spinal anesthesia may occur instead of epidural anesthesia. If spinal anesthesia occurs, specific effects with a remote probability of occurrence include headaches and backaches, hypotension, urinary retention, and rare meningitis. Rare effects and unlikely occurrence include severe respiratory depression, hypotension, and decreased heart rate, which requires temporary advanced medical intervention with increased oxygen and administration of medications, or mechanical ventilation until the effects of anesthesia decrease. There are reports of cases in the literature without reports of studies with real incidence, presuming that these types of complications are very rare. In addition, the detection of specific and rarer effects should be part of the routine monitoring of patients receiving anesthesia.////// UPDATE 11/08/2014 - The company finalized the field action. An alert message was sent regarding the use of the product for customers and distributors.
  • Reason
    The bd has so far received 7 world reports indicating that the bd syringe epilor lor 7 ml with luer-lok nozzle may possibly slip with greater strength than usual for a resistance-loss plastic syringe during the ride within the syringe. this occurrence may make it difficult for the user to detect the loss of resistance when entering the epidural space. if this occurs, the user may continue to advance the syringe and needle through the epidural and dural space, and reach the spinal or intrathecal canal, resulting in spinal anesthesia rather than epidural anesthesia. there are no reports of harm to patients.
  • Action
    The company that registers in Brazil, BD, recommends BD Epilor users to: 1. Follow the institution's standard routine procedure to ensure there is no resistance to the syringe before use; 2. If the syringe has this resistance, discard it and continue the procedure with a new syringe; 3. BD Brasil is available to clarify any technical doubts specific to this product and to provide the necessary assistance through the telephone 0800 055 5564 or the email crc@bd.com

Manufacturer