BD BBL THIOGLYCOLLATE MEDIUM, ENRICHED WITH VITAMIN K1 AND HEMIN 221742

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-18 for BD BBL THIOGLYCOLLATE MEDIUM, ENRICHED WITH VITAMIN K1 AND HEMIN 221742 manufactured by Becton, Dickinson And Company.

MAUDE Entry Details

Report Number8802602
MDR Report Key8802602
Date Received2019-07-18
Date of Report2019-07-03
Date of Event2019-06-26
Report Date2019-07-03
Date Reported to FDA2019-07-03
Date Reported to Mfgr2019-07-18
Date Added to Maude2019-07-18
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBD BBL THIOGLYCOLLATE MEDIUM, ENRICHED WITH VITAMIN K1 AND HEMIN
Generic NameCULTURE MEDIA, NON-SELECTIVE AND NON-DIFFERENTIAL
Product CodeJSG
Date Received2019-07-18
Returned To Mfg2019-07-01
Model Number221742
Catalog Number221742
Lot Number9087634
Device AvailabilityR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerBECTON, DICKINSON AND COMPANY
Manufacturer Address7 LOVETON CIRCLE SPARKS MD 21152 US 21152


Patients

Patient NumberTreatmentOutcomeDate
10 2019-07-18

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