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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON IND. CIRURGICAS LTDA SHARPS COLL II BD 7L; SHARPS CONTAINER

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BECTON DICKINSON IND. CIRURGICAS LTDA SHARPS COLL II BD 7L; SHARPS CONTAINER Back to Search Results
Catalog Number 305643
Device Problem Device Damaged Prior to Use (2284)
Patient Problem No Patient Involvement (2645)
Event Date 08/07/2020
Event Type  malfunction  
Manufacturer Narrative
Date of event: unknown.The date received by manufacturer has been used for this field.Medical device expiration date: unknown.A device evaluation and/or device history review is anticipated, but is not complete.Upon completion, a supplemental report will be filed.Device manufacture date: unknown.(b)(4).
 
Event Description
It was reported that sharps coll ii bd 13l was damaged.This was discovered before use.The following information was provided by the initial reporter: we received the (b)(4) where we found that the following product arrived with malfunction.
 
Manufacturer Narrative
H.6.Investigation: dhr, quality notification and maintenance analysis were performed and no occurrences related to the occurrence was observed.The picture sent by the customer was verified and it was possible observe descartex broken.This occurrence is potentially related to an damage caused during the material transport or feeding.H3 other text : see h.10.
 
Event Description
It was reported that sharps coll ii bd 7l was damaged.This was discovered before use.The following information was provided by the initial reporter: we received the nf 555249 where we found that the following product arrived with malfunction.
 
Manufacturer Narrative
The following fields have been updated with corrections/additional information: b.5.Describe event or problem: the event description has been updated with a new medical device brand name.D.1.Medical device brand name: sharps coll ii bd 7l d.2.Medical device catalog #: 305643 d.4.Medical device expiration date: na d.4.Medical device lot #: 0142180 d.4.Unique identifier (udi) #: (b)(4).H.4.Device manufacture date: 2020-05-21.
 
Event Description
It was reported that sharps coll ii bd 7l was damaged.This was discovered before use.The following information was provided by the initial reporter: we received the nf 555249 where we found that the following product arrived with malfunction.
 
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Brand Name
SHARPS COLL II BD 7L
Type of Device
SHARPS CONTAINER
Manufacturer (Section D)
BECTON DICKINSON IND. CIRURGICAS LTDA
550 rua cyro correia pereira
curitiba
MDR Report Key10463495
MDR Text Key206969356
Report Number3003916417-2020-00250
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 foreign,other,user facility
Type of Report Initial,Followup,Followup
Report Date 09/18/2020
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 Number305643
Device Lot Number0142180
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 08/07/2020
Initial Date FDA Received08/27/2020
Supplement Dates Manufacturer Received08/07/2020
08/07/2020
Supplement Dates FDA Received09/17/2020
09/18/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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