MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-20 for BARCODE READER SEDI 20/40 361548 manufactured by Becton Dickinson.
[112437491]
For oem manufacturing sites: in this mdr, bd corporate headquarters in (b)(4) has been listed as (b)(4) is an oem manufacturing site. Medical device expiration date: unknown. Device manufacture date: unknown. Returned to manufacturer on: unknown. (b)(6). Bd received samples from the customer facility for investigation. The samples were evaluated and the customer's indicated failure mode with the incident lot was observed.
Patient Sequence No: 1, Text Type: N, H10
[112437492]
It was reported that barcode reader sedi 20/40 failed to scan samples. No serious injury or medical intervention.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2243072-2018-01190 |
MDR Report Key | 7620485 |
Date Received | 2018-06-20 |
Date of Report | 2018-06-20 |
Date of Event | 2017-03-10 |
Date Mfgr Received | 2017-04-24 |
Date Added to Maude | 2018-06-20 |
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 | BARCODE READER SEDI 20/40 |
Generic Name | ESR INSTRUMENT |
Product Code | GHC |
Date Received | 2018-06-20 |
Returned To Mfg | 2017-06-06 |
Catalog Number | 361548 |
Lot Number | 614780 |
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 | 2018-06-20 |