MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-21 for BD VACUTAINER? URINE COLLECTION CUP 364941 manufactured by Becton, Dickinson And Company (bd).
[112312873]
Date of event: unknown. The date received by manufacturer has been used for this field. 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
[112312874]
It was reported that before use a bd vacutainer? Urine collection cup was found to have "an anomaly. No cannula (needle) for sampling. " there was no report of exposure, injury or medical intervention needed.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9617032-2018-00320 |
| MDR Report Key | 7627101 |
| Date Received | 2018-06-21 |
| Date of Report | 2018-06-22 |
| Date of Event | 2018-05-25 |
| Date Mfgr Received | 2018-05-25 |
| Device Manufacturer Date | 2018-01-10 |
| Date Added to Maude | 2018-06-21 |
| 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 AND COMPANY (BD) |
| Manufacturer Street | BELLIVER WAY BELLIVER INDUSTRIAL ESTATE |
| Manufacturer City | PLYMOUTH |
| Manufacturer Country | US |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | BD VACUTAINER? URINE COLLECTION CUP |
| Generic Name | URINE COLLECTION SET |
| Product Code | JTW |
| Date Received | 2018-06-21 |
| Catalog Number | 364941 |
| Lot Number | 8010512 |
| Device Expiration Date | 2019-12-31 |
| Device Availability | * |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BECTON, DICKINSON AND COMPANY (BD) |
| Manufacturer Address | BELLIVER WAY BELLIVER INDUSTRIAL ESTATE PLYMOUTH US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2018-06-21 |