MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-20 for BD VECAFIX? VECA - C? IV DRESSINGS 392020 manufactured by Becton Dickinson.
[112034167]
"there were multiple lot numbers reported to be involved. The information for each lot number is as follows: medical device lot #: 122241, medical device expiration date: 02/29/2020, device manufacture date: 08/13/2015. Medical device lot #: 123426, medical device expiration date: 08/31/2020, device manufacture date: 01/05/2016. (b)(4). A device evaluation is anticipated, but has not yet begun. Upon completion of the investigation, a supplemental report will be filed.
Patient Sequence No: 1, Text Type: N, H10
[112034168]
It was reported that 2 packages from lot. 122241 of the bd vecafix? Veca - c? Iv dressings, and 6 packages from lot 123426 were open prior to use. No reports of serious injury or medical intervention noted.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2243072-2018-00397 |
MDR Report Key | 7621550 |
Date Received | 2018-06-20 |
Date of Report | 2018-07-18 |
Date of Event | 2018-05-29 |
Date Mfgr Received | 2018-05-30 |
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 | BD VECAFIX? VECA - C? IV DRESSINGS |
Generic Name | IV START KIT |
Product Code | KMK |
Date Received | 2018-06-20 |
Returned To Mfg | 2018-06-05 |
Catalog Number | 392020 |
Lot Number | SEE H.10 |
Device Availability | R |
Device Age | DA |
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 |