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Analisis de Riesgos
Analisis de Riesgos
Analisis de Riesgos
(d-EURA)
EURA Project Leader: Mohamed Riyas Rahamathulla (R&D)
PRODUCT DESCRIPTION: Hypodermic Needle EURA Project Team: Leilei Zhang (Unit R&D), Vishal Joshi (Unit QA), Regina Haywood (Medical Affairs),
Std/Conv Needles, SoloMed, Eclipse, Microlance Needle, Discardit II,
PRODUCTS AFFECTED: SafetyGlide Needle, Precision Glide Needle, Soloshot Mini, H1000 Needle Murtaza Rana (Regulatory), Carl Chrisbacher (Operations)
RISK EVALUATION
OCCURRENCE
OCCURRENCE
POTENTIAL
SEVERITY
SEVERITY
POTENTIAL FAILURE POTENTIAL CAUSES RECOMMENDED
ITEM ITEM FUNCTIONS EFFECTS OF ASSUMPTIONS
MODES OF FAILURE RISK CONTROLS ACTIONS ACTIONS TAKEN
FAILURE
Hub Holds Cannula Cannula Falls off • Hub lumen ID • Needle remains • Material
too large in vial - user properties as per
• Incorrect annoyance BD requirement 1 1 Acceptable N/A
material selection • Product
• Cannula falls off - Specification Severity ranges 1-3
Patient get • BD Hub Drawing
inaccurate dose 1 3 Acceptable N/A
• Potential for
leakage resulting
in exposure to 1 3 Acceptable N/A
blood/body fluids
• Potential for
leakage resulting
exposure
bloodborne 1 4 Unacceptable N/A RBA #1
pathogens with
seroconversion
RISK EVALUATION
OCCURRENCE
OCCURRENCE
POTENTIAL
SEVERITY
SEVERITY
POTENTIAL FAILURE POTENTIAL CAUSES RECOMMENDED
ITEM ITEM FUNCTIONS EFFECTS OF ASSUMPTIONS
MODES OF FAILURE RISK CONTROLS ACTIONS ACTIONS TAKEN
FAILURE
RISK EVALUATION
OCCURRENCE
OCCURRENCE
POTENTIAL
SEVERITY
SEVERITY
POTENTIAL FAILURE POTENTIAL CAUSES RECOMMENDED
ITEM ITEM FUNCTIONS EFFECTS OF ASSUMPTIONS
MODES OF FAILURE RISK CONTROLS ACTIONS ACTIONS TAKEN
FAILURE
• Potential for
leakage resulting
in exposure to
1 3 Acceptable N/A
blood/body fluids
• Potential for
leakage resulting
exposure
bloodborne
1 4 Unacceptable N/A RBA #1
pathogens with
seroconversion
Holds Needle Shield pull off force • Incorrect Hub • Unable to pull • Material
shield too high Design the shield - properties as per
• Incorrect Material Customer BD requirement 1 1 Acceptable N/A
selection annoyance • Product
Specification
• BD Hub Drawing
• Rebound Needle
stick injury (clean)
1 2 Acceptable N/A
DESIGN END USER RISK ANALYSIS
(d-EURA)
DOCUMENT NO.: RM370 REV. NO.: 05
RISK EVALUATION
OCCURRENCE
OCCURRENCE
POTENTIAL
SEVERITY
SEVERITY
POTENTIAL FAILURE POTENTIAL CAUSES RECOMMENDED
ITEM ITEM FUNCTIONS EFFECTS OF ASSUMPTIONS
MODES OF FAILURE RISK CONTROLS ACTIONS ACTIONS TAKEN
FAILURE
Shield pull off force • Incorrect Hub • Shield slips off • Material
too low Design rubbing the properties as per
• Incorrect Material cannula resulting BD requirement
selection cannula tip • Product
damage. Specification
1 1 Acceptable N/A
Customer • BD Hub Drawing
annoyance,
discards product
Connects with luer Loose connection • Incorrect Hub • Needle remains • Material
mating device Design in vial - user properties as per
• Incorrect Material annoyance BD requirement 1 1 Acceptable N/A
selection • Product
• Potential for Specification Severity ranges 1-3
leakage resulting • BD Hub Drawing
in patient to get
inaccurate dose 1 3 Acceptable N/A
• Potential for
leakage resulting
exposure to
blood/body fluids 1 3 Acceptable N/A
DESIGN END USER RISK ANALYSIS
(d-EURA)
DOCUMENT NO.: RM370 REV. NO.: 05
RISK EVALUATION
OCCURRENCE
OCCURRENCE
POTENTIAL
SEVERITY
SEVERITY
POTENTIAL FAILURE POTENTIAL CAUSES RECOMMENDED
ITEM ITEM FUNCTIONS EFFECTS OF ASSUMPTIONS
MODES OF FAILURE RISK CONTROLS ACTIONS ACTIONS TAKEN
FAILURE
• Potential for
leakage resulting
exposure
bloodborne
pathogens with 1 4 Unacceptable N/A RBA #1
seroconversion
• Potential for
leakage resulting
in exposure to
blood/body fluids 1 3 Acceptable N/A
• Potential for
leakage resulting
exposure
bloodborne
pathogens with 1 4 Unacceptable N/A RBA #1
seroconversion
DESIGN END USER RISK ANALYSIS
(d-EURA)
DOCUMENT NO.: RM370 REV. NO.: 05
RISK EVALUATION
OCCURRENCE
OCCURRENCE
POTENTIAL
SEVERITY
SEVERITY
POTENTIAL FAILURE POTENTIAL CAUSES RECOMMENDED
ITEM ITEM FUNCTIONS EFFECTS OF ASSUMPTIONS
MODES OF FAILURE RISK CONTROLS ACTIONS ACTIONS TAKEN
FAILURE
Cannula Penetrate septum Difficult to insert in • Incorrect bevel • High penetration • Material
(Vial / IV Bags / IV septum geometry force for IV bag properties as per
Ports Etc.) or Skin. • Incorrect etc.- Customer BD requirement
material selection annoyance • Product
Specification 1 1 Acceptable N/A
• BD Cannula
Drawing
RISK EVALUATION
OCCURRENCE
OCCURRENCE
POTENTIAL
SEVERITY
SEVERITY
POTENTIAL FAILURE POTENTIAL CAUSES RECOMMENDED
ITEM ITEM FUNCTIONS EFFECTS OF ASSUMPTIONS
MODES OF FAILURE RISK CONTROLS ACTIONS ACTIONS TAKEN
FAILURE
Shield Protect Shield interface with • Incorrect Shield • Shield falls off • Product
needle/end user hub is too loose rib design immediately after Specification
• Incorrect removing from • BD Shield
material selection package - Drawing 1 1 Acceptable N/A
• Excessive lube Customer • Material
annoyance properties as per
BD requirement
• Clean needle
stick injury due to
shield 1 2 Acceptable N/A
inadvertently
coming off
DESIGN END USER RISK ANALYSIS
(d-EURA)
DOCUMENT NO.: RM370 REV. NO.: 05
RISK EVALUATION
OCCURRENCE
OCCURRENCE
POTENTIAL
SEVERITY
SEVERITY
POTENTIAL FAILURE POTENTIAL CAUSES RECOMMENDED
ITEM ITEM FUNCTIONS EFFECTS OF ASSUMPTIONS
MODES OF FAILURE RISK CONTROLS ACTIONS ACTIONS TAKEN
FAILURE
• Potential for
contamination -
1 1 Acceptable N/A
user discards
• Rebound needle
stick
injury (clean) 1 2 Acceptable N/A
• Clean Needle
stick Injury
1 2 Acceptable N/A
Epoxy Bonds cannula to Cannula pull force • Incorrect epoxy • Needle remains • Material
hub too low/falls off material selection in vial - user properties as per
• Insufficient annoyance BD requirement
quantity of epoxy 1 1 Acceptable N/A
selected
Needle remains in
patient - clinician
removes 1 1 Acceptable N/A
DESIGN END USER RISK ANALYSIS
(d-EURA)
DOCUMENT NO.: RM370 REV. NO.: 05
RISK EVALUATION
OCCURRENCE
OCCURRENCE
POTENTIAL
SEVERITY
SEVERITY
POTENTIAL FAILURE POTENTIAL CAUSES RECOMMENDED
ITEM ITEM FUNCTIONS EFFECTS OF ASSUMPTIONS
MODES OF FAILURE RISK CONTROLS ACTIONS ACTIONS TAKEN
FAILURE
• Potential for
leakage resulting
in exposure to
1 3 Acceptable N/A
blood/body fluids
• Potential for
leakage resulting
exposure
bloodborne
1 4 Unacceptable N/A RBA #1
pathogens with
seroconversion
RISK EVALUATION
OCCURRENCE
OCCURRENCE
POTENTIAL
SEVERITY
SEVERITY
POTENTIAL FAILURE POTENTIAL CAUSES RECOMMENDED
ITEM ITEM FUNCTIONS EFFECTS OF ASSUMPTIONS
MODES OF FAILURE RISK CONTROLS ACTIONS ACTIONS TAKEN
FAILURE
Painful injection
1 2 Acceptable N/A
Acceptable: Broadly acceptable – risk should be reduced as far as possible Remote: Rarely if ever observed
Unacceptable-yellow: Risk should be reduced as far as possible. If no additional risk reduction measures are Occasional: Observed but not often.
taken, then documented justification and risk/benefit analysis is required.
Unacceptable - red: The risk without further risk/benefit analysis is intolerable and must be reduced or a Frequent: Often observed.
risk/benefit analysis completed and approved.
4 Severe Injury which results in severe symptoms, significant injury, potential long-term risk to health, or permanent impairment as a direct result of
product failure, or due to a delay in treatment as a result of product failure. The injury/symptoms may be irreversible despite medical interventio
but are not immediately life threatening. This category includes, but is not limited to:
• Injuries which require major or invasive (i.e., moderate to high-risk) surgery or other intervention for treatment, exposure of patient to a high
level of cumulative risk due to multiple medical interventions, or injuries which require patient hospitalization or which extend length of patient
hospitalization for treatment.
• The transmission or causation of a potentially chronically debilitating or life threatening disease as a result of the product malfunction
• The misdiagnosis or wrong treatment of a serious illness due to erroneous results
Examples include: product failures that require such procedures as exploratory laparotomy or other invasive diagnostic procedure with significant
risk, removal and reinsertion of a fully inserted pulmonary arterial catheter, or retrieval of catheter fragment from the heart. Also included are
product failures which result in loss of sight, amputation or loss of use of a limb, pneumonia, bacteremia, seroconversion for blood borne disease
such as HIV/AIDS or Hepatitis C, electrical exposure above the “let go” threshold but which does not result in cardiac or respiratory compromise,
or widespread partial thickness or limited full-thickness (third degree) burns.
5 Catastrophic Fatal or immediately life threatening. Fatal means death has already occurred. Life threatening means that death could occur in the near term
despite treatment or that the patient was or would be at immediate risk of death if medical intervention had not occurred.
Examples include: anaphylactic reaction, severe hemorrhage, cardiac tamponade, cardiac arrest, septic shock, electrocution with cardiac or
respiratory compromise, extensive third-degree burns.
Disclaimer:
The clinical examples in the above table are for guidance only. The severity ranking may change depending on a variety of factors, which need to be assessed on case by case basis.
Risk Benefit Analysis
Document
No.: RM 370
Rev. No.: Rev. OS
Hypodermic Needle
Ref # Justification
Potential for leakage and exposure to SSP with seroconversion has a severity of 4. For the
identified risk, the occurrence is as low as possible (rank 1) which cannot be reduced any
RBA-1 further and there is a very low probability of this risk to occur. The current controls in place
demonstrate the acceptable performance of the device. The use of universal precautions
reduces this risk. Based on this assessment, the risk has been determined to be acceptable
) OtO:_ M ,
..Ll, ~ :JJN N, 2-0/ 7-
Author: Regina Haywood, RN, MSN, AN?
Associate Director, Medical Affairs fI Signature () Date
Approvals:
Prantosh Sivaya
Quality Manager
Bruce Culleton
VP WIN Medical Affairs
EURA HISTORY
Rev. No. Revision Description ECO
Added Risk associated with the "Cannula Lube". Removed "Design Verification from the "Current Design Control"
column. dEURA RM370 Rev 03 was compared to RM233 FMEA to update the missing items. Removed
4 assumption as the listed occurrence accounts for WW data and added Note. 500000059957
B (3) Revised Ranking Criterions and formula to be in compliance with 500000024817 Ashlee Riden/
MS-QS-034 Rev 05. Shannon Kegel