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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON & CO. (SPARKS) BD DIFCO¿ OXGALL (DEHYDRATED FRESH BILE); SUPPLEMENT, CULTURE MEDIA

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BECTON, DICKINSON & CO. (SPARKS) BD DIFCO¿ OXGALL (DEHYDRATED FRESH BILE); SUPPLEMENT, CULTURE MEDIA Back to Search Results
Catalog Number 212820
Device Problem Incorrect, Inadequate or Imprecise Result or Readings (1535)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/16/2023
Event Type  malfunction  
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 that while using the bd difco¿ oxgall (dehydrated fresh bile) that there was insufficient growth.The following information was provided by the initial reporter: the customer has stated that bacterial growth has been insufficient after switching to the current lot (1155481).
 
Manufacturer Narrative
After further evaluation of the complaint, it has been determined that the previously submitted report 1119779-2023-00039 was sent in error.There was no report of serious injury, medical intervention, or reportable device malfunction.Therefore this is not considered to be a reportable malfunction.
 
Event Description
It was reported that while using the bd difco¿ oxgall (dehydrated fresh bile) that there was insufficient growth.The following information was provided by the initial reporter: the customer has stated that bacterial growth has been insufficient after switching to the current lot (1155481).
 
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Brand Name
BD DIFCO¿ OXGALL (DEHYDRATED FRESH BILE)
Type of Device
SUPPLEMENT, CULTURE MEDIA
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
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key16206594
MDR Text Key308082040
Report Number1119779-2023-00039
Device Sequence Number1
Product Code JSK
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 03/01/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/19/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Expiration Date10/21/2023
Device Catalogue Number212820
Device Lot Number1155481
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received05/10/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured06/04/2021
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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