BD E-Z SCRUB 160 371603

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-04-05 for BD E-Z SCRUB 160 371603 manufactured by Becton Dickinson And Company.

Event Text Entries

[104714272] In pharmacy iv cleanroom a bd e-z scrub 160 brush was opened to assist in handwashing. It was noted by iv technician that the scrub brush contained a dark, smelly substance on one part of the scrubber surface. Technician removed scrubber from area and restarted processes with a new scrubber.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5076355
MDR Report Key7402263
Date Received2018-04-05
Date of Report2018-04-05
Date of Event2018-04-04
Date Added to Maude2018-04-06
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameBD E-Z SCRUB 160
Generic NameBRUSH, SCRUB, OPERATING ROOM
Product CodeGEC
Date Received2018-04-05
Model Number371603
Lot Number7283595
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerBECTON DICKINSON AND COMPANY
Manufacturer AddressFRANKLIN LAKES NJ 07417 US 07417


Patients

Patient NumberTreatmentOutcomeDate
10 2018-04-05

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