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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 Component Missing (2306)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 04/09/2020
Event Type  malfunction  
Manufacturer Narrative
Date of event: unknown.The date received by manufacturer has been used for this field.A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
 
Event Description
It was reported that 4 sharps coll ii bd 7l experienced missing lid or slide lid/clamp.Product defect was noted prior to use.The following information was provided by the initial reporter: it was observed a non-conformity when opening the box of collector bd descartex ii of 7 l - product code 305643, which it has come missing 4 collectors' covers/lids, making not possible to use them.
 
Manufacturer Narrative
H.6.Investigation: dhr, quality notification and maintenance analysis were performed and no occurrences potentially related to the incident were observed.The customer report and image provided were verified and it was possible to observe short count.The potential cause for the reported incident is operational failure at manual packaging machine.The operators will be notified from this complaint.
 
Event Description
It was reported that 4 sharps coll ii bd 7l experienced missing lid or slide lid/clamp.Product defect was noted prior to use.The following information was provided by the initial reporter: it was observed a non-conformity when opening the box of collector bd descartex ii of 7 l - product code 305643, which it has come missing 4 collectors' covers/lids, making not possible to use them.
 
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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 Key10012384
MDR Text Key204057237
Report Number3003916417-2020-00133
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
Report Date 05/15/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/29/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number305643
Device Lot Number0021502
Was Device Available for Evaluation? No
Date Manufacturer Received04/09/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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