BD VERITOR PHYSICIAN KIT - FLU A & B 256045

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,other report with the FDA on 2017-03-02 for BD VERITOR PHYSICIAN KIT - FLU A & B 256045 manufactured by Becton, Dickinson & Co..

Event Text Entries

[68772542] The bd veritor system for rapid detection of flu a+b is a rapid chromatographic immunoassay for the direct and qualitative detection and differentiation of influenza a and b viral nucleoprotein antigens. Nasal and nasopharyngeal swabs of symptomatic patients are tested as an aid in the diagnosis of influenza a and b viral infections. The copan minitip flocked swabs are provided as a component of the veritor flu a+b kits, and are intended to be used for nasopharyngeal or nasal specimen collection. The manufacturing batch history record was examined and showed no discrepant issues related to breakage as observed in the customer complaint. Bd quality performed additional testing of the minitip flocked swabs from retention kits of the same lot and could not replicate the swab tip breakage when used as intended. Quality was unable to confirm the customer complaint and will continue to track and trend. (b)(4). Device returned to manufacturer and evaluated.
Patient Sequence No: 1, Text Type: N, H10


[68772543] A swab broke during the specimen collection process for a nasal swab specimen from a (b)(6) patient. Approximately 55 mm of the plastic swab shaft and swab tip broke off from the end of the swab. An endoscope was used to examine the paranasal cavity to look for the broken portion of the swab, but was not found. It was later confirmed that the patient ingested the swab as it was found in stool from the patient after the incident.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1119779-2017-00002
MDR Report Key6371671
Report SourceHEALTH PROFESSIONAL,OTHER
Date Received2017-03-02
Date of Report2017-03-01
Date of Event2017-02-03
Date Mfgr Received2017-02-03
Device Manufacturer Date2015-08-12
Date Added to Maude2017-03-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer Street7 LOVETON CIRCLE
Manufacturer CitySPARKS MD 21152
Manufacturer CountryUS
Manufacturer Postal21152
Manufacturer Phone4103164000
Manufacturer G1BECTON, DICKINSON & CO.
Manufacturer Street7 LOVETON CIRCLE
Manufacturer CitySPARKS MD 21152
Manufacturer CountryUS
Manufacturer Postal Code21152
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBD VERITOR PHYSICIAN KIT - FLU A & B
Generic NameBD VERITOR SYSTEM FOR RAPID DETECTION OF FLU A+B
Product CodeGNX
Date Received2017-03-02
Catalog Number256045
Lot Number6282345
Device Expiration Date2018-08-11
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECTON, DICKINSON & CO.
Manufacturer Address7 LOVETON CIRCLE SPARKS MD 21152 US 21152


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-03-02

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