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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON & CO. (BROKEN BOW) BD VACUTAINER® URINE COLLECTION CUP; SPECIMEN TRANSPORT AND STORAGE CONTAINER

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BECTON, DICKINSON & CO. (BROKEN BOW) BD VACUTAINER® URINE COLLECTION CUP; SPECIMEN TRANSPORT AND STORAGE CONTAINER Back to Search Results
Catalog Number 364975
Device Problem Leak/Splash (1354)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 03/11/2019
Event Type  Injury  
Manufacturer Narrative
Date of event: unknown.Medical device expiration date: unknown.A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.Device manufacture date: unknown.
 
Event Description
It was reported that the lid on the bd vacutainer® urine collection cup was not leak-proof when properly secured, causing urine leakage that soiled that exterior of the cup and biohazard transport bag.Some samples were reportedly "refused" due to the excessive leakage, requiring patients to be recalled by the physician to recollect and delaying treatment.The following information was provided by the initial reporter: "the lids are not leak-proof even when properly sealed and screwed.The exterior of the cup is soiled and there is urine in the biohazard transport bag.Some samples are refused due to excessive leakage.The patients need to be recalled by the physician to repeat the sample.Test results and therefore treatment are delayed.".
 
Manufacturer Narrative
Investigation summary: bd had not received samples or photos from the customer facility for evaluation; therefore, the investigation was limited.Additionally, bd was unable to determine the specific lot number associated with this complaint.Therefore, a review of the device history record could not be conducted.As no samples or photos were received for evaluation, the customer's indicated failure mode was not observed by bd.As there was no sample or photo available for evaluation, a root cause could not be determined.Complaints received for this device and reported condition will continue to be tracked and trended.Information will be captured on trend reports and monitored.The bd business team regularly reviews the collected data for identification of emerging trends.
 
Event Description
It was reported that the lid on the bd vacutainer® urine collection cup was not leak-proof when properly secured, causing urine leakage that soiled that exterior of the cup and biohazard transport bag.Some samples were reportedly "refused" due to the excessive leakage, requiring patients to be recalled by the physician to recollect and delaying treatment.The following information was provided by the initial reporter: "the lids are not leak-proof even when properly sealed and screwed.The exterior of the cup is soiled and there is urine in the biohazard transport bag.Some samples are refused due to excessive leakage.The patients need to be recalled by the physician to repeat the sample.Test results and therefore treatment are delayed.".
 
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Brand Name
BD VACUTAINER® URINE COLLECTION CUP
Type of Device
SPECIMEN TRANSPORT AND STORAGE CONTAINER
Manufacturer (Section D)
BECTON, DICKINSON & CO. (BROKEN BOW)
150 south 1st avenue
broken bow NE 68822
MDR Report Key8453041
MDR Text Key139959276
Report Number1917413-2019-01048
Device Sequence Number1
Product Code KDT
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,other,user facility
Type of Report Initial,Followup
Report Date 04/04/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number364975
Device Lot NumberUNKNOWN
Initial Date Manufacturer Received 03/11/2019
Initial Date FDA Received03/26/2019
Supplement Dates Manufacturer Received03/11/2019
Supplement Dates FDA Received04/04/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number0
Patient Outcome(s) Required Intervention;
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