Brand Name | BD VACUTAINER ULTRATOUCH PUSH BUTTON BLOOD COLLECTION SET |
Type of Device | SET, ADMINISTRATION, INTRAVASCULAR |
Manufacturer (Section D) |
BECTON, DICKINSON AND COMPANY |
1 becton dr |
franklin lakes NJ 07417 |
|
MDR Report Key | 6826655 |
MDR Text Key | 83866559 |
Report Number | 6826655 |
Device Sequence Number | 1 |
Product Code |
FPA
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
08/14/2017,08/16/2017 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 08/29/2017 |
Is this a Product Problem Report? |
Yes
|
Device Operator |
Nurse
|
Device Expiration Date | 05/31/2019 |
Device Catalogue Number | 367364 |
Device Lot Number | 7156633 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
No
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 08/14/2017 |
Event Location |
Hospital
|
Date Report to Manufacturer | 08/14/2017 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|