BD VACUTAINER? K3E 7.2MG PLUS BLOOD COLLECTION TUBES 368860

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-01 for BD VACUTAINER? K3E 7.2MG PLUS BLOOD COLLECTION TUBES 368860 manufactured by Becton, Dickinson And Company (bd).

Event Text Entries

[107349555] Date of event: unknown. The date received by manufacturer has been used for this field. Investigation results: summary: bd received samples from the customer facility for investigation. The samples were evaluated and the customer's indicated failure mode for underfill with the incident lot was not observed. Evaluation and testing of the customer samples was performed and underfill was not observed. A review of the device history record was completed for the incident lot and, based on this review, all product specifications and requirements for lot release were met; there were no related quality non-conformances during manufacturing of the product. Bd has initiated further investigation relating to this issue through a capa. The investigation is still on-going and improvements will be made as the potential causes of this issue are identified. Conclusion: based on evaluation of the customer samples, the customer? S indicated failure mode for underfill with the incident lot was not observed. Further investigation has been initiated through capa 161123. The investigation is still on-going and improvements will be made as the potential causes are identified. Root cause: capa 161123 has been initiated to document further investigation and root cause analysis relating to this issue. The investigation is currently on-going and will be updated as the potential root cause(s) are identified. Rationale: based on an assessment of severity and frequency, it was determined that a capa is required at this time in order to determine the root cause associated with this issue and implement corrective actions. The investigation is currently on-going and further improvements will be made as the potential root cause(s) are identified.
Patient Sequence No: 1, Text Type: N, H10


[107349556] It was reported that several external producers found underfilling when using bd vacutainer? K3e 7. 2mg plus blood collection tubes. In addition, it was reported the laboratory has found the tubes to be filling slower than other tubes. There was no report of exposure, serious injury or medical intervention.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9617032-2018-00103
MDR Report Key7477957
Date Received2018-05-01
Date of Report2018-04-11
Date of Event2018-04-09
Date Mfgr Received2018-04-09
Device Manufacturer Date2017-04-24
Date Added to Maude2018-05-01
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 AND COMPANY (BD)
Manufacturer StreetBELLIVER WAY BELLIVER INDUSTRIAL ESTATE
Manufacturer CityPLYMOUTH
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameBD VACUTAINER? K3E 7.2MG PLUS BLOOD COLLECTION TUBES
Generic NameBLOOD COLLECTION TUBE
Product CodePJE
Date Received2018-05-01
Returned To Mfg2018-04-18
Catalog Number368860
Lot Number7114655
Device Expiration Date2018-08-31
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECTON, DICKINSON AND COMPANY (BD)
Manufacturer AddressBELLIVER WAY BELLIVER INDUSTRIAL ESTATE PLYMOUTH US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-05-01

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