BACTEC LYTIC/10 ANAEROBIC/F MEDIUM 442265

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 2009-08-11 for BACTEC LYTIC/10 ANAEROBIC/F MEDIUM 442265 manufactured by Bd Caribe, Ltd..

Event Text Entries

[21676153] A phlebotomist picked up two blood culture bottles to take them to another room to draw a patient. One of the bottles seemed to collapse in his hand. The tech instinctively gripped tighter, resulting in the two deep lacerations that required sixteen sutures and a tetanus shot. The bottle did not contain any blood or body fluids.
Patient Sequence No: 1, Text Type: D, B5


[21827203] Retention samples from the same lot were visually inspected for any broken and/or cracked vials. All results were satisfactory. Review of the batch history record did not identify abnormalities as related to this issue. Although bd is unable to confirm any issues that would have contributed to this event, we will continue to closely monitor this type of issue. Bd will continue to educate the customer concerning proper handling of bactec bottles and any breakage that may occur.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1119779-2009-00008
MDR Report Key1437084
Report Source05
Date Received2009-08-11
Date of Report2009-08-11
Date of Event2009-07-29
Date Mfgr Received2009-07-31
Device Manufacturer Date2009-01-01
Date Added to Maude2009-08-18
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 G1BD CARIBE, LTD.
Manufacturer StreetVICKS DRIVE, LOT #6
Manufacturer CityCAYEY PR 00737
Manufacturer CountryUS
Manufacturer Postal Code00737
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBACTEC LYTIC/10 ANAEROBIC/F MEDIUM
Product CodeJSL
Date Received2009-08-11
Catalog Number442265
Lot Number8354757
Device Expiration Date2009-10-31
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBD CARIBE, LTD.
Manufacturer AddressCAYEY PR US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2009-08-11

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