BD FLUNT FILL NEEDLE WITH FILTER 305211

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,other,user facility report with the FDA on 2020-02-11 for BD FLUNT FILL NEEDLE WITH FILTER 305211 manufactured by Becton Dickinson And Company.

MAUDE Entry Details

• Report Number: 1911916-2020-00125
• MDR Report Key: 9695987
• Report Source: FOREIGN,OTHER,USER FACILITY
• Date Received: 2020-02-11
• Date of Report: 2020-01-21
• Date of Event: 2020-01-21
• Date Mfgr Received: 2020-01-21
• Device Manufacturer Date: 2017-03-27
• Date Added to Maude: 2020-02-11
• 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: 8015652341
• Manufacturer G1: BECTON DICKINSON AND COMPANY
• Manufacturer Street: 2153 12TH AVENUE
• Manufacturer City: COLUMBUS NE 68601
• Manufacturer Country: US
• Manufacturer Postal Code: 68601
• Single Use: 3
• Previous Use Code: 3
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: BD FLUNT FILL NEEDLE WITH FILTER
• Generic Name: MANUAL SURGICAL INSTRUMENT FOR GENERAL USE
• Product Code: GAA
• Date Received: 2020-02-11
• Model Number: 305211
• Catalog Number: 305211
• Lot Number: 7086976
• Device Availability: N
• Device Eval'ed by Mfgr: R
• Device Sequence No: 1
• Device Event Key: 0
• Manufacturer: BECTON DICKINSON AND COMPANY
• Manufacturer Address: 2153 12TH AVENUE COLUMBUS NE 68601 US 68601

Patients

Patient Number	Treatment	Outcome	Date
1	0	1. Other	2020-02-11