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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON & CO., (BD) BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES; BLOOD SPECIMEN COLLECTION DEVICE

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BECTON, DICKINSON & CO., (BD) BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES; BLOOD SPECIMEN COLLECTION DEVICE Back to Search Results
Model Number 367986
Device Problem Expiration Date Error (2528)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/08/2023
Event Type  malfunction  
Event Description
It was reported that prior to use with bd vacutainer® sst¿ blood collection tubes the tubes in the tray had an expired expiration.The label on the tray had a different expiration date that was not expired.The following information was provided by the initial reporter, translated from chinese to english: stage: unopened for use, when checking the outer packaging.Defect: expired products are relabeled for sale.Quantity: 100 pieces.Impact: no impact on patients and users.
 
Manufacturer Narrative
A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
 
Manufacturer Narrative
H6.Bd received 1 customer returned shelf pack samples and 3 photos for investigation.Based on a review of the device history record for the incident lot, all product specifications and requirements for lot release were met.There were no related quality issues during manufacturing of the product.A complaint history was performed, and this was the only complaint received on this batch for the reported defect.After evaluation of the photo, it was shown that there were multiple shelf labels on the package.After inspecting the received customer sample, bd was able to remove the top label that included the incorrect information and found that the correct label (that included batch# 2069383) and the distribution center translated label that is placed on the package, which also included the correct information, was under the incorrect label (which included batch# 2236548).Additionally, the larger translated label on the back of the shelf pack presents the same information that was within the shelf pack (batch# 2069383).Additionally, per our procedures during a batch change all labels are removed from the line and placed into the proper waste container.The next batch is not started until the line clearance is completely finished.Therefore, bd is unable to confirm the customer reported defect as this occurred outside of the manufacturing site.Complaints received for this device and reported condition will continue to be tracked and trended.Our business team regularly reviews the collected data for identification of emerging trends.H3 other text : see h10.
 
Event Description
It was reported that prior to use with bd vacutainer® sst¿ blood collection tubes the tubes in the tray had an expired expiration.The label on the tray had a different expiration date that was not expired.The following information was provided by the initial reporter, translated from chinese to english: stage: unopened for use, when checking the outer packaging defect: expired products are relabeled for sale quantity: 100 pieces impact: no impact on patients and users.
 
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Brand Name
BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES
Type of Device
BLOOD SPECIMEN COLLECTION DEVICE
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
8448235433
MDR Report Key16641015
MDR Text Key312422764
Report Number1024879-2023-00178
Device Sequence Number1
Product Code JKA
UDI-Device Identifier50382903679862
UDI-Public(01)50382903679862
Combination Product (y/n)N
Reporter Country CodeCH
PMA/PMN Number
BK050036
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 03/31/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/29/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Expiration Date02/28/2023
Device Model Number367986
Device Catalogue Number367986
Device Lot Number2069383
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Date Manufacturer Received03/31/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured03/10/2022
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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