MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-11-29 for THIOGLYCOLLATE TESTING TUBES manufactured by Becton Dickenson Diagnostics.
[2272989]
Black specks floating in the liquid.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5023262 |
| MDR Report Key | 2358344 |
| Date Received | 2011-11-29 |
| Date of Report | 2011-11-29 |
| Date Added to Maude | 2011-12-06 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | THIOGLYCOLLATE TESTING TUBES |
| Generic Name | TESTING TUBE |
| Product Code | JSG |
| Date Received | 2011-11-29 |
| Returned To Mfg | 2011-10-28 |
| Lot Number | 1217702 |
| Device Expiration Date | 2012-02-04 |
| Device Availability | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BECTON DICKENSON DIAGNOSTICS |
| Brand Name | TRYPICASE SOY BROTH TESTING TUBE |
| Generic Name | TESTING TUBE |
| Product Code | JSG |
| Date Received | 2011-11-29 |
| Returned To Mfg | 2011-10-28 |
| Lot Number | 1197803 |
| Device Expiration Date | 2013-01-01 |
| Device Availability | R |
| Device Sequence No | 2 |
| Device Event Key | 0 |
| Manufacturer | BENTON DICKENSON DIAGNOSTICS |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2011-11-29 |