221199

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-08-08 for 221199 manufactured by Becton-dickinson.

Event Text Entries

[3638916] One tube of thioglycollate medium without indicator was moldy upon receipt, despite the fact that the cap was secure and the tube showed no signs of damage.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5031383
MDR Report Key3283758
Date Received2013-08-08
Date of Report2013-08-07
Date of Event2013-08-02
Date Added to Maude2013-08-15
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Generic NameTHIOGLYCOLLATE MEDIUM WITHOUT INDICATOR
Product CodeJSG
Date Received2013-08-08
Catalog Number221199
Lot Number309-2459
Device Expiration Date2014-04-04
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerBECTON-DICKINSON


Patients

Patient NumberTreatmentOutcomeDate
10 2013-08-08

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