MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-07 for BD SEDI-40 361546 manufactured by Becton Dickinson.
[107592235]
In this mdr, bd (b)(4) in (b)(6) has been listed is mfg (b)(4) is an (b)(4) manufacturing site. Returned to manufacturer on: unknown. The investigation date has been used. Medical device lot #: unknown. Medical device expiration date: unknown. Unique identifier (udi) #: unknown. (b)(6). Bd received samples from the customer facility for investigation. The samples were evaluated and the customer's indicated failure mode for 127154 with the incident lot was observed.
Patient Sequence No: 1, Text Type: N, H10
[107592236]
It was reported that bd sedi-40 "sedi 40-(b)(4)-broken".
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2243072-2018-00730 |
MDR Report Key | 7490991 |
Date Received | 2018-05-07 |
Date of Report | 2018-04-26 |
Date of Event | 2017-08-18 |
Date Mfgr Received | 2017-08-21 |
Date Added to Maude | 2018-05-07 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | BDX BRETT WILKO |
Manufacturer Street | 9450 SOUTH STATE STREET |
Manufacturer City | SANDY UT 84070 |
Manufacturer Country | US |
Manufacturer Postal | 84070 |
Manufacturer Phone | 8015652845 |
Manufacturer G1 | BECTON DICKINSON |
Manufacturer Street | 1 BECTON DRIVE |
Manufacturer City | FRANKLIN LAKES NJ 07417 |
Manufacturer Country | US |
Manufacturer Postal Code | 07417 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 0 |
Brand Name | BD SEDI-40 |
Generic Name | ESR INSTRUMENT |
Product Code | GHC |
Date Received | 2018-05-07 |
Returned To Mfg | 2017-10-18 |
Catalog Number | 361546 |
Lot Number | UNKNOWN |
Device Availability | R |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | BECTON DICKINSON |
Manufacturer Address | 1 BECTON DRIVE FRANKLIN LAKES NJ 07417 US 07417 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 2018-05-07 |