MAUDE Adverse Event Report: BECTON, DICKINSON & CO. (SPARKS) BD BBL¿ RAPID UREA BROTH; CULTURE MEDIA, NON-SELECTIVE AND DIFFERENTIAL

Model Number 298330

Device Problem False Positive Result (1227)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 09/24/2021

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¿ rapid urea broth false positive results were obtained by the laboratory personnel.There was no indication that results were reported out and there was no report of patient impact.The following information was provided by the initial reporter: "customer reports increased positivity that is discrepant with pathology biopsy results with use of media item 298330-bbl rapid urea broth.".

Event Description

It was reported that while using bd bbl¿ rapid urea broth false positive results were obtained by the laboratory personnel.There was no indication that results were reported out and there was no report of patient impact.The following information was provided by the initial reporter: "customer reports increased positivity that is discrepant with pathology biopsy results with use of media item 298330-bbl rapid urea broth.".

Manufacturer Narrative

H.6.Investigation: material 298330 is manufactured by rehydrating the media components with usp purified water and thoroughly mixing until a homogeneous solution is obtained.The solution is then sterile filtered and dispensed into tubes.The tubes are manually the batch history record review for batch 1072858 was satisfactory at time of release and no notifications were generated during manufacturing and inspection.Filling, torquing, and packaging processes were within specifications.In process checks were performed at the designated intervals.Those checks confirmed that the caps were tightened to the validated specifications per internal procedure.Qc inspection and testing were satisfactory at time of release.The complaint history was reviewed, and no other complaints have been taken on this batch.Retention samples from batch 1072858 (10 vials) were available for inspection.No contamination visual defects were observed in the retention samples.Retentions were performance tested per procedure.Performance testing of the retentions was satisfactory.

• Brand Name: BD BBL¿ RAPID UREA BROTH
• Type of Device: CULTURE MEDIA, NON-SELECTIVE AND DIFFERENTIAL
• Manufacturer (Section D): BECTON, DICKINSON & CO. (SPARKS); 7 loveton circle; sparks MD 21152
• Manufacturer (Section G): BECTON, DICKINSON & CO. (SPARKS); 7 loveton circle; sparks MD 21152
• Manufacturer Contact: katie swenson ; 9450 south state street; sandy, UT 84070 ; 8015296192
• MDR Report Key: 12677548
• MDR Text Key: 282218889
• Report Number: 1119779-2021-01699
• Device Sequence Number: 1
• Product Code: JSH
• UDI-Device Identifier: 30382902983300
• UDI-Public: 30382902983300
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: EXEMPT
• Number of Events Reported: 1
• 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: 05/11/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 10/21/2021
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Other
• Device Expiration Date: 03/10/2022
• Device Model Number: 298330
• Device Catalogue Number: 298330
• Device Lot Number: 1072858
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 05/11/2022
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 03/13/2021
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1