BD PERISAFE? CATHETER CONNECTOR 400835

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-01-08 for BD PERISAFE? CATHETER CONNECTOR 400835 manufactured by Carefusion, Inc.

Event Text Entries

[132575234] 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


[132575235] It was reported that bd perisafe? Catheter connectors experienced multiple issues including 100 cases of defective connector/adaptor, 100 cases of leakage, 100 cases of damaged packaging, 100 cases of poor seal integrity causing sterility concerns, 100 cases of sterility questioned, and 100 cases of difficulty opening packaging. No lot numbers were provided in association with these incidents.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1625685-2018-00070
MDR Report Key8227486
Date Received2019-01-08
Date of Report2019-01-15
Date of Event2018-12-19
Date Mfgr Received2018-12-19
Date Added to Maude2019-01-08
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 G1CAREFUSION, INC
Manufacturer Street400 EAST FOSTER RD
Manufacturer CityMANNFORD OK 74044
Manufacturer CountryUS
Manufacturer Postal Code74044
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameBD PERISAFE? CATHETER CONNECTOR
Generic NameCATHETER CONNECTOR
Product CodeGCD
Date Received2019-01-08
Catalog Number400835
Lot NumberUNKNOWN
Device Availability*
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION, INC
Manufacturer Address400 EAST FOSTER RD MANNFORD OK 74044 US 74044


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-01-08

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