CHLORAPREP 260815

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-04-13 for CHLORAPREP 260815 manufactured by Becton, Dickinson & Co..

Event Text Entries

[105397627]
Patient Sequence No: 1, Text Type: N, H10


[105397628] Orange dye has bled through to sponge while still inside sterile package - entire lot affected. Manufacturer response for chloraprep 26ml, (brand not provided) (per site reporter). Rep came in and traded out for another lot number. Although bd does not view this as an failure (not activated), our surgical team has chosen not to use this lot number.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7428445
MDR Report Key7428445
Date Received2018-04-13
Date of Report2018-03-21
Date of Event2018-03-13
Report Date2018-03-20
Date Reported to FDA2018-03-20
Date Reported to Mfgr2018-03-20
Date Added to Maude2018-04-13
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCHLORAPREP
Generic NameAPPLICATOR, ABSORBENT TIPPED, NON-STERILE
Product CodeKXF
Date Received2018-04-13
Returned To Mfg2018-03-19
Catalog Number260815
Lot Number8026672
Device AvailabilityR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerBECTON, DICKINSON & CO.
Manufacturer AddressONE BECTON DRIVE FRANKLIN LAKES NJ 07417 US 07417


Patients

Patient NumberTreatmentOutcomeDate
10 2018-04-13

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