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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON SHARPS COLL CAN 22.7L YEL 1102 VENT CAP; SHARPS CONTAINER

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BECTON DICKINSON SHARPS COLL CAN 22.7L YEL 1102 VENT CAP; SHARPS CONTAINER Back to Search Results
Catalog Number 300483
Device Problem Device Misassembled During Manufacturing /Shipping (2912)
Patient Problem No Patient Involvement (2645)
Event Date 07/30/2020
Event Type  malfunction  
Manufacturer Narrative
Oem manufacturer: (b)(4).There were multiple lot numbers reported to be involved.The information for each lot number is as follows: medical device lot #: 0044924, medical device expiration date: na, device manufacture date: 2020-03-03, medical device lot #: 9206944, medical device expiration date: na, device manufacture date: 2019-08-12.A device evaluation is anticipated but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.(b)(4).
 
Event Description
It was reported that 5 sharps coll can 22.7l yel 1102 vent cap lids from lot 9206944, and an unspecified number of lids from lot 0044924 were found broken in the box before use.The following information was provided by the initial reporter: "5 lids out of 12 in the case that where already broken in the box.".
 
Event Description
It was reported that 5 sharps coll can 22.7l yel 1102 vent cap lids from lot 9206944, and an unspecified number of lids from lot 0044924 were found broken in the box before use.The following information was provided by the initial reporter: "5 lids out of 12 in the case that where already broken in the box.".
 
Manufacturer Narrative
H.6.Investigation: a sample and photo representation was not provided, and additional evidence of original packaging to confirm was not available.A review of the device history record (dhr) could not be performed as the lot was unknown.A non-conforming material report (ncmr) review for the reported lot was performed for the past 12 months and there were no manufacturing or material defects reported that could have caused or contributed to the reported incident.An investigation was performed to review the current manufacturing processes.All material is 100% inspected by the production department.Also, a second inspection is performed based on an aql sampling plan by a quality auditor.H3 other text : see h.10.
 
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Brand Name
SHARPS COLL CAN 22.7L YEL 1102 VENT CAP
Type of Device
SHARPS CONTAINER
Manufacturer (Section D)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
MDR Report Key10428787
MDR Text Key205330436
Report Number2243072-2020-01281
Device Sequence Number1
Product Code MMK
Combination Product (y/n)N
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor,foreign,other
Type of Report Initial,Followup
Report Date 09/23/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number300483
Device Lot NumberSEE SECTION H.10.
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 07/30/2020
Initial Date FDA Received08/19/2020
Supplement Dates Manufacturer Received07/30/2020
Supplement Dates FDA Received09/24/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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