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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON & CO. (SPARKS) BD RAPID DETECTION OF SARS-COV-2 VERITOR¿; CORONAVIRUS ANTIGEN DETECTION SYSTEM

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BECTON, DICKINSON & CO. (SPARKS) BD RAPID DETECTION OF SARS-COV-2 VERITOR¿; CORONAVIRUS ANTIGEN DETECTION SYSTEM Back to Search Results
Catalog Number 256089
Device Problem Leak/Splash (1354)
Patient Problem Eye Injury (1845)
Event Date 09/27/2021
Event Type  Injury  
Manufacturer Narrative
Eua # (b)(4).Medical device expiration date: na.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 while testing with bd rapid detection of sars-cov-2 veritor¿ the cap was loose on tube and when mixing reagent the sample went into the operators eye.Operator sought medical attention and blood tests were performed.Eua # (b)(4).The following information was provided by the initial reporter: operator, was using face shield but had flicked it up as shield had fogged up.As he was processing the test, he placed the dropper lid on top of the reagent tube but cap didn't clip into place (was loose).As he flicked the reagent tube to mix, reagent flicked out and went into the operators eye.Medical practitioner was contacted, ordered saline flush and once complete operator went to medical care for full books, as per any body intrusion injury.
 
Manufacturer Narrative
H.6.Investigation: this statement is to summarize the investigation results regarding the complaint that alleges operator processed test with loose reagent¿s tube cap while face shield flicked up when using kit rapid detection of sars-cov-2 veritor ce (material # 256089), batch number unknown.Bd quality performs a systematic approach to investigate operator processed test with loose reagent¿s tube cap while face shield flicked up complaints.This approach involves review of manufacturing batch history records, visual inspection of retention samples, and visual inspection of customer returned samples, if applicable.An investigation could not be performed as no batch number was provided.Operator was using face shield but had to flicked it up as the shield had fogged up, while he was processing the test.The operator placed the dropper lid on top of the reagent's tube but the cap didn't clipped into place (was loose).As he flicked the reagent tube to mix, the reagent flicked out and went into the operator's eye.Medical practitioner was contacted, and ordered saline flush and once completed the operator went to medical care for full books, as per anybody intrusion injury.The injury would have been avoided if the face shield was not flicked up during testing and also follow bd's ifu 500050809_ifu_256089_multilingual_en_ca, page 3, the use of personal protective equipment.The complaint was unable to be confirmed.There are no current trends against operator processed test with loose reagent¿s tube cap while face shield flicked up issues.Bd quality will continue to closely monitor for trends.There were no corrective actions taken at this time.
 
Event Description
It was reported that while testing with bd rapid detection of sars-cov-2 veritor¿ the cap was loose on tube and when mixing reagent the sample went into the operators eye.Operator sought medical attention and blood tests were performed.Eua # (b)(4) the following information was provided by the initial reporter: operator, was using face shield but had flicked it up as shield had fogged up.As he was processing the test, he placed the dropper lid on top of the reagent tube but cap didn't clip into place (was loose).As he flicked the reagent tube to mix, reagent flicked out and went into the operators eye.Medical practitioner was contacted, ordered saline flush and once complete operator went to medical care for full books, as per any body intrusion injury.
 
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Brand Name
BD RAPID DETECTION OF SARS-COV-2 VERITOR¿
Type of Device
CORONAVIRUS ANTIGEN DETECTION SYSTEM
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 Key12693321
MDR Text Key279086615
Report Number1119779-2021-01707
Device Sequence Number1
Product Code QKP
Combination Product (y/n)N
Reporter Country CodeAS
PMA/PMN Number
NA
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 01/13/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/25/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number256089
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received01/13/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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