BD VACUTAINER PLASTIC URINE COLLECTION CUP 364975

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2014-12-17 for BD VACUTAINER PLASTIC URINE COLLECTION CUP 364975 manufactured by Bd.

Event Text Entries

[5220518] It was reported that while holding a bd vacutainer plastic urine collection cup, a clinician's thumb accidentally pressed through the foil cover and was stuck by the needle used to penetrate the urine collection tube. The clinician received a tetanus shot and bacitracin was applied on the cut.
Patient Sequence No: 1, Text Type: D, B5


[12683269] It is unknown is a sample is available for evaluation. If a sample is received, a supplemental report will be filed. Also, a review of the device history records could not be performed as a lot number for this incident was not provided. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2243072-2014-00301
MDR Report Key4356424
Report Source05,06
Date Received2014-12-17
Date of Report2014-12-17
Date Mfgr Received2014-12-03
Date Added to Maude2014-12-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactAARON LARSON
Manufacturer StreetONE BECTON DRIVE
Manufacturer CityFRANKLIN LAKES NJ 07417
Manufacturer CountryUS
Manufacturer Postal07417
Manufacturer Phone8015652406
Manufacturer Street150 SOUTH 1ST ST.
Manufacturer CityBROKEN BOW NE 68822
Manufacturer CountryUS
Manufacturer Postal Code68822
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBD VACUTAINER PLASTIC URINE COLLECTION CUP
Generic NameURINE COLLECTION CUP
Product CodeLIO
Date Received2014-12-17
Catalog Number364975
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerBD
Manufacturer AddressONE BECTON DRIVE FRANKLIN LAKES NJ 07417 US 07417


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-12-17

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.