BBL THIOGLYCOLLATE MEDIUM, ENRICHED WITH VIT 221788

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 2008-06-24 for BBL THIOGLYCOLLATE MEDIUM, ENRICHED WITH VIT 221788 manufactured by Bd Diagnostics.

Event Text Entries

[865120] Customer called to report that an employee was opening a tube and the tube shattered in the person's hand. The employee was cut and required three stitches. The customer was unable to provide a lot number and said that he did not have any more of the tubes left. The customer remarked that this was a single isolated incident, and he did not think that the tube was tightly capped since the rest of the lot did not have tight caps. The customer said that the employee is ok and has returned to work.
Patient Sequence No: 1, Text Type: D, B5


[8074303] Return material from the customer was unavailable for investigation. The customer could not provide a lot number; therefore, retention material could not be examined. A review of the complaint system was conducted and show non other report of this defect on this product catalog number. Although the customer indicated that the caps were not too tight, investigation by product family noted that the cap used on this tube type was identified as a contributing factor leading to occurrences where some caps required higher than usual removal force. For this catalog number, tubes made after 2008 have utilized a new cap shell. These tubes show improvement in the amount of force required to remove the cap from the tube. Bd will continue to monitor this product.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1119779-2008-00008
MDR Report Key1064500
Report Source05
Date Received2008-06-24
Date of Report2008-06-23
Date of Event2008-06-02
Date Mfgr Received2008-06-02
Device Manufacturer Date2007-11-01
Date Added to Maude2008-06-27
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 ContactJAMES TILLMAN
Manufacturer Street7 LOVETON CIRCLE
Manufacturer CitySPARKS MD 21152
Manufacturer CountryUS
Manufacturer Postal21152
Manufacturer Phone4103164054
Manufacturer G1BECTON DICKINSON
Manufacturer Street250 SCHILLING CIRCLE
Manufacturer CityCOCKEYSVILLE MD 21030
Manufacturer CountryUS
Manufacturer Postal Code21030
Single Use3
Remedial ActionPM
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBBL THIOGLYCOLLATE MEDIUM, ENRICHED WITH VIT
Product CodeJSG
Date Received2008-06-24
Catalog Number221788
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key1033007
ManufacturerBD DIAGNOSTICS
Manufacturer Address250 SCHILLING CIRCLE COCKEYSVILLE MD 21030 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2008-06-24

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