BD VECAFIX? VECA - C? IV DRESSINGS 392020

MAUDE Adverse Event Report

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.

Event Text Entries

[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


MAUDE Entry Details

Report Number2243072-2018-00397
MDR Report Key7621550
Date Received2018-06-20
Date of Report2018-07-18
Date of Event2018-05-29
Date Mfgr Received2018-05-30
Date Added to Maude2018-06-20
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
Manufacturer Street1 BECTON DRIVE
Manufacturer CityFRANKLIN LAKES NJ 07417
Manufacturer CountryUS
Manufacturer Postal Code07417
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameBD VECAFIX? VECA - C? IV DRESSINGS
Generic NameIV START KIT
Product CodeKMK
Date Received2018-06-20
Returned To Mfg2018-06-05
Catalog Number392020
Lot NumberSEE H.10
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECTON DICKINSON
Manufacturer Address1 BECTON DRIVE FRANKLIN LAKES NJ 07417 US 07417


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-06-20

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