MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,o report with the FDA on 2019-01-15 for BD BACTEC? FX, INSTRUMENT TOP, PACKAGED 441385 manufactured by Becton, Dickinson & Co..
[133182957]
(b)(6). 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
[133182958]
It was reported that a bd bactec? Fx, instrument top, packaged, was placed on the edge of a table and supported with an external bracket of unknown origin. While the user was opening the drawer of the instrument the external bracket and a portion of the table broke loose causing the instrument to fall to the floor. When the instrument fell it struck the user causing unspecified injury. The user received a medical evaluation following the incident for their injury.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1119779-2018-00018 |
MDR Report Key | 8249858 |
Report Source | FOREIGN,HEALTH PROFESSIONAL,O |
Date Received | 2019-01-15 |
Date of Report | 2019-01-18 |
Date of Event | 2018-12-21 |
Date Mfgr Received | 2018-12-21 |
Device Manufacturer Date | 2014-03-27 |
Date Added to Maude | 2019-01-15 |
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 |
Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
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 & CO. |
Manufacturer Street | 7 LOVETON CIRCLE |
Manufacturer City | SPARKS MD 21152 |
Manufacturer Country | US |
Manufacturer Postal Code | 21152 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | BD BACTEC? FX, INSTRUMENT TOP, PACKAGED |
Generic Name | MICROBIAL GROWTH MONITOR |
Product Code | JTA |
Date Received | 2019-01-15 |
Catalog Number | 441385 |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | BECTON, DICKINSON & CO. |
Manufacturer Address | 7 LOVETON CIRCLE SPARKS MD 21152 US 21152 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2019-01-15 |