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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON AND COMPANY (BD) BD VACUTAINER® K2E (EDTA) 18.0MG PLUS BLOOD COLLECTION TUBE; BLOOD SPECIMEN COLLECTION DEVICE

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BECTON, DICKINSON AND COMPANY (BD) BD VACUTAINER® K2E (EDTA) 18.0MG PLUS BLOOD COLLECTION TUBE; BLOOD SPECIMEN COLLECTION DEVICE Back to Search Results
Catalog Number 367525
Device Problem Improper or Incorrect Procedure or Method (2017)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/19/2022
Event Type  malfunction  
Event Description
It was reported when using the bd vacutainer® k2e (edta) 18.0mg plus blood collection tube the tube was used after the expiration date." the following information was provided by the initial reporter.The customer stated: "we have been working in medical genetics and using bd vacutainer and other products for the last 20 years.Currently, we are facing a huge problem as suppliers are providing us fake/expired bd vacutainer with re-labelling as well syringes due to which we lost a lot of our precious blood samples.".
 
Manufacturer Narrative
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 when using the bd vacutainer® k2e (edta) 18.0mg plus blood collection tube the tube was used after the expiration date." the following information was provided by the initial reporter.The customer stated: "we have been working in medical genetics and using bd vacutainer and other products for the last 20 years.Currently, we are facing a huge problem as suppliers are providing us fake/expired bd vacutainer with re-labelling as well syringes due to which we lost a lot of our precious blood samples.".
 
Manufacturer Narrative
H.6.Investigation summary: bd received a photograph from the customer in support of this complaint.The evaluation of the shelf pack label in the photograph was identical compared with the retained samples of the bd inventory.Bd was unable to duplicate or confirm the customer¿s indicated failure mode based on the visual check of retained samples.Bd was not able to identify a root cause for the indicated failure mode.A complaint history review was conducted and only the current complaint was found relating to the incident lot number 1245679 and the ¿as reported¿ defect code.The device history records were reviewed with no issues being identified.There were no related quality notifications.All processes and final inspections comply with specification requirements.
 
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Brand Name
BD VACUTAINER® K2E (EDTA) 18.0MG PLUS BLOOD COLLECTION TUBE
Type of Device
BLOOD SPECIMEN COLLECTION DEVICE
Manufacturer (Section D)
BECTON, DICKINSON AND COMPANY (BD)
belliver way
belliver industrial estate
plymouth
UK 
Manufacturer (Section G)
BECTON, DICKINSON AND COMPANY (BD)
belliver way
belliver industrial estate
plymouth
UK  
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key15741574
MDR Text Key307634576
Report Number9617032-2022-01102
Device Sequence Number1
Product Code JKA
Combination Product (y/n)N
Reporter Country CodePK
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 11/29/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/06/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Expiration Date09/30/2023
Device Catalogue Number367525
Device Lot Number1245679
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received11/29/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured09/02/2021
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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