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 2020-03-20 for BD VACUTAINER? SST? II ADVANCE PLUS BLOOD COLLECTION TUBES 368640 manufactured by Becton, Dickinson And Company (bd).
[186303906]
Investigation summary: bd received samples and photos from the customer facility for investigation. The photos were evaluated and the customer? S indicated failure mode for foreign matter with the incident lot was observed. Additionally, evaluation of the customer samples was performed and foreign matter was observed. A review of the device history record was completed for the incident lot and, based on this review, all product specifications and requirements for lot release were met; there were no related quality non-conformances during manufacturing of the product.
Patient Sequence No: 1, Text Type: N, H10
[186303907]
It was reported before use the bd vacutainer? Sst? Ii advance plus blood collection tubes had foreign matter in tube; biological and non-biological. The following information was provided by the initial reporter: fm in gel x1 occurrence, dirty tube x1 occurrence.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9617032-2020-00268 |
| MDR Report Key | 9861004 |
| Report Source | FOREIGN,OTHER,USER FACILITY |
| Date Received | 2020-03-20 |
| Date of Report | 2020-03-16 |
| Date of Event | 2020-03-09 |
| Date Mfgr Received | 2020-03-16 |
| Device Manufacturer Date | 2019-05-24 |
| Date Added to Maude | 2020-03-20 |
| 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 (BD) |
| Manufacturer Street | BELLIVER WAY BELLIVER INDUSTRIAL ESTATE |
| Manufacturer City | PLYMOUTH |
| Manufacturer Country | UK |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | BD VACUTAINER? SST? II ADVANCE PLUS BLOOD COLLECTION TUBES |
| Generic Name | BLOOD SPECIMEN COLLECTION DEVICE |
| Product Code | JKA |
| Date Received | 2020-03-20 |
| Returned To Mfg | 2020-03-17 |
| Catalog Number | 368640 |
| Lot Number | 9144771 |
| Device Availability | R |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BECTON, DICKINSON AND COMPANY (BD) |
| Manufacturer Address | BELLIVER WAY BELLIVER INDUSTRIAL ESTATE PLYMOUTH UK |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2020-03-20 |