MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2004-01-27 for BBL VACUTAINER BRAND 236500 * manufactured by Becton Dickinson Microbiology Systems.
[18482670]
Culture tube "used" in abdomen. When the culture tube was removed from abdomen there was no cotton tip on it. Abdomen was searched, no cotton tip was found. However; nobody noticed if there was a tip when the package was originally opened.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1030941 |
| MDR Report Key | 509213 |
| Date Received | 2004-01-27 |
| Date of Report | 2004-01-27 |
| Date of Event | 2004-01-05 |
| Date Added to Maude | 2004-02-03 |
| 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 | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | BBL VACUTAINER BRAND |
| Generic Name | ANAEROBIC SPECIMEN COLLECTOR |
| Product Code | JSC |
| Date Received | 2004-01-27 |
| Model Number | 236500 |
| Catalog Number | * |
| Lot Number | 2353802 |
| ID Number | * |
| Device Expiration Date | 2004-07-31 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 498169 |
| Manufacturer | BECTON DICKINSON MICROBIOLOGY SYSTEMS |
| Manufacturer Address | * SPARKS MD 21152 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2004-01-27 |