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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON & CO., (BD) BD BBL¿ TAXO¿ DIFFERENTIATION DISCS FOR VX FACTOR; DISCS, STRIPS AND REAGENTS, MICROORGANISM DIFFERENTIATION

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BECTON, DICKINSON & CO., (BD) BD BBL¿ TAXO¿ DIFFERENTIATION DISCS FOR VX FACTOR; DISCS, STRIPS AND REAGENTS, MICROORGANISM DIFFERENTIATION Back to Search Results
Model Number 231731
Device Problem Incorrect, Inadequate or Imprecise Result or Readings (1535)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/28/2022
Event Type  malfunction  
Manufacturer Narrative
A device evaluation and/or device history review is anticipated but is not complete.Upon completion, a supplemental report will be filed.
 
Event Description
It was reported that while using bd bbl¿ taxo¿ differentiation discs for vx factor insufficient growth occurred.The following information was provided by the initial reporter: " customer state h.Influenza did not grow when compared to hardy disc hazard, injury or erroneous results? no.Hazard, injury or erroneous results details.".
 
Manufacturer Narrative
A complaint investigation due to low growth for taxo vx factor catalog 231731 batch no.: 2056559 was performed on retention samples.Returned goods received.Unable to tested.Packaging integrity was affected.Received not refrigerated, neither with ice pack.Photo received from customer was evaluated.Growth around hardy vx disc, light zone of growth around bbl disc and growth between v and x discs, presumptive growth of h.Influenzae.The investigation required to test product for performance, visual inspection, and batch record review.Retention samples performed as expected.No discrepancies observed during the visual inspection.Batch record review did not show any evidence of customer claim.No corrective action is required based on information evaluated and satisfactory results obtained during the qc test.Complaint is not confirmed.Complaints received for this device and reported condition will continue to be tracked and trended.Information will be captured on trend reports and monitored.H3 other text : see h.10.
 
Event Description
It was reported that while using bd bbl¿ taxo¿ differentiation discs for vx factor insufficient growth occurred.The following information was provided by the initial reporter: " customer state h.Influenza did not grow when compared to hardy disc hazard, injury or erroneous results? no.Hazard, injury or erroneous results details ".
 
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Brand Name
BD BBL¿ TAXO¿ DIFFERENTIATION DISCS FOR VX FACTOR
Type of Device
DISCS, STRIPS AND REAGENTS, MICROORGANISM DIFFERENTIATION
Manufacturer (Section D)
BECTON, DICKINSON & CO., (BD)
1575 airport road
sumter SC 29153
Manufacturer (Section G)
BECTON, DICKINSON & CO., (BD)
1575 airport road
sumter SC 29153
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key15785700
MDR Text Key305807931
Report Number1024879-2022-00665
Device Sequence Number1
Product Code JTO
UDI-Device Identifier00382902317319
UDI-Public00382902317319
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 01/04/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/12/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Expiration Date09/30/2023
Device Model Number231731
Device Catalogue Number231731
Device Lot Number2056559
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received01/04/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured03/09/2022
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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