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MDA/2008/047 - Procedure packs from various manufacturers which contain BD Medical Surgical Systems 2ml, 5ml and 10ml Plastipak Luer slip syringes

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Document details:

Type: Medical Device Alert
Series No: MDA/2008/047
Audience: Healthcare professionals
Published:
Format: Electronic and paper
Size: A4
Pages: 3
Price: free
ISBN/ISSN:
Author:
Copyright: Crown
   

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Page 1

Issued: 01 July 2008 at 14:30
Ref: MDA/2008/047

 

 
Immediate action
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Action
 
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Information request


Device:
Procedure packs from various manufacturers which contain BD Medical Surgical Systems 2ml, 5ml and 10ml Plastipak Luer slip syringes.

>Page 2

Problem:
Potential for the BD Luer slip syringes supplied in procedure packs to spontaneously disconnect or fail to maintain a secure connection to Luer fittings of other devices.		  
Action by:
All healthcare and care workers who use procedure packs and those involved in their supply and distribution.		  

Action:
Ensure local systems are in place so that where a procedure pack contains BD Luer slip syringes and when the use of the syringes is unavoidable:

  • the syringes are used with caution and their use is avoided in situations where disconnection would pose a high risk to patients or users
  • the syringe is firmly attached to all Luer connections
  • syringes are not left unattended while connected to Luer fittings.
  

Distributed to:

NHS trusts in England - Chief Executives*
Commission for Social Care Inspection (CSCI) - Headquarters
Healthcare Commission (CHAI) - Headquarters
Social services in England - Directors*
NHS Boards in Scotland  - Chief Executives

* via CE Bulletin

>Page 2

Contacts:
Details of contacts for technical and clinical aspects.
Change of address or removal from address list for CSCI and Healthcare Commission.

>Pages 2-3



Action deadlines for the Safety Alert Broadcast System (SABS)
Deadline (action underway): 01 August 2008
Deadline (action complete): 01 September 2008


Page last modified: 01 July 2008