BIO 701 CONTAINER WITH INSULATION 369656

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-12-07 for BIO 701 CONTAINER WITH INSULATION 369656 manufactured by Becton Dickinson.

Event Text Entries

[94875735] Date of event: unknown. The date received by manufacturer has been used for this field. Medical device lot # unknown; medical device expiration date: unknown; unique identifier (udi) # unknown; device manufacture date: unknown. Results: a sample was not returned for evaluation. The defect could not be confirmed from the photo. Conclusion: without a sample, an absolute root cause for this incident cannot be determined as bd was not able to duplicate or confirm the customer? S indicated failure mode.
Patient Sequence No: 1, Text Type: N, H10


[94875736] It was reported that bio 701 container with insulation had locks that wouldn't close correctly, they see to get loose and the container can not be closed. No injury or medical intervention reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2243072-2017-00309
MDR Report Key7095536
Date Received2017-12-07
Date of Report2017-11-08
Date of Event2015-12-10
Date Mfgr Received2015-12-10
Date Added to Maude2017-12-07
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 FDA3
Event Location3
Manufacturer ContactBDX BRETT WILKO
Manufacturer Street9450 SOUTH STATE STREET
Manufacturer CitySANDY UT 84070
Manufacturer CountryUS
Manufacturer Postal84070
Manufacturer Phone8015652845
Manufacturer G1BECTON DICKINSON
Manufacturer Street1 BECTON DRIVE
Manufacturer CityFRANKLIN LAKES NJ 07417
Manufacturer CountryUS
Manufacturer Postal Code07417
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameBIO 701 CONTAINER WITH INSULATION
Generic NameTERTIARY BOX
Product CodeKER
Date Received2017-12-07
Catalog Number369656
Lot NumberUNKNOWN
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBECTON DICKINSON
Manufacturer Address1 BECTON DRIVE FRANKLIN LAKES NJ 07417 US 07417


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-12-07

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