BD BACTEC? FX, INSTRUMENT TOP, PACKAGED 441385

MAUDE Adverse Event Report

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..

Event Text Entries

[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


MAUDE Entry Details

Report Number1119779-2018-00018
MDR Report Key8249858
Report SourceFOREIGN,HEALTH PROFESSIONAL,O
Date Received2019-01-15
Date of Report2019-01-18
Date of Event2018-12-21
Date Mfgr Received2018-12-21
Device Manufacturer Date2014-03-27
Date Added to Maude2019-01-15
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 G1BECTON, DICKINSON & CO.
Manufacturer Street7 LOVETON CIRCLE
Manufacturer CitySPARKS MD 21152
Manufacturer CountryUS
Manufacturer Postal Code21152
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBD BACTEC? FX, INSTRUMENT TOP, PACKAGED
Generic NameMICROBIAL GROWTH MONITOR
Product CodeJTA
Date Received2019-01-15
Catalog Number441385
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBECTON, DICKINSON & CO.
Manufacturer Address7 LOVETON CIRCLE SPARKS MD 21152 US 21152


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-01-15

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