BBL THIOGLYCOLLATE MEDIUM WITHOUT INDICATOR 221798

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2008-03-20 for BBL THIOGLYCOLLATE MEDIUM WITHOUT INDICATOR 221798 manufactured by Bd Diagnostics.

Event Text Entries

[836854] Customer called to report that caps on the media were too tight. An employee broke the glass tube in her hand while attempting to open it. The employee's finger was cut and required stitches. The employee also received a tetanus shot.
Patient Sequence No: 1, Text Type: D, B5


[8051110] The 97 tubes from this lot were returned from the customer for investigation. Five tubes were opened easily by hand. Ten random tubes were tested for torque with readings from 3. 4 to 7. 9 in/lb. Two of the ten tubes tested for torque were unable to be opened. An additional 25 tubes were tested for torque and six were higher than 8 in/lb. The remaining 19 were within the satisfactory range of 3. 0-8. 0 in/lb. Additionally, these 25 tubes were measured for critical dimensions and found to be within specification. Retention samples were tested for ease to open and torque. Three tubes were easy to open and two tubes were very hard to open. The torque testing results were between 5. 2 to 8. 0 in/lb. The batch history record was examined and found to be satisfactory with all torque readings between 4. 5 and 6. 4 in/lb during filling. A review of the complaint system was conducted and show no other reported of this defect on this product lot. This lot will be monitored for future reports of this defect. A corrective action has been opened to further address this issue.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1119779-2008-00005
MDR Report Key1017141
Report Source05
Date Received2008-03-20
Date of Report2008-03-21
Date of Event2008-02-25
Date Mfgr Received2008-02-25
Device Manufacturer Date2007-11-01
Date Added to Maude2008-09-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactJOHN GERLICH
Manufacturer Street7 LOVETON CIRCLE
Manufacturer CitySPARKS MD 21152
Manufacturer CountryUS
Manufacturer Postal21152
Manufacturer Phone4103164464
Manufacturer G1BECTON DICKINSON
Manufacturer Street250 SCHILLING CIRCLE
Manufacturer CityCOCKEYSVILLE MD 21030
Manufacturer CountryUS
Manufacturer Postal Code21030
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBBL THIOGLYCOLLATE MEDIUM WITHOUT INDICATOR
Product CodeJSG
Date Received2008-03-20
Returned To Mfg2008-02-28
Catalog Number221798
Lot Number7302935
Device Expiration Date2008-10-21
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by Mfgr*
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key1015337
ManufacturerBD DIAGNOSTICS
Manufacturer Address250 SCHILLING CIRCLE COCKEYSVILLE MD 21030 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2008-03-20

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