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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON AND COMPANY (BD) BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES; BLOOD SPECIMEN COLLECTION DEVICE

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BECTON, DICKINSON AND COMPANY (BD) BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES; BLOOD SPECIMEN COLLECTION DEVICE Back to Search Results
Catalog Number 368498
Device Problem Device Ingredient or Reagent Problem (2910)
Patient Problem Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 06/08/2023
Event Type  malfunction  
Manufacturer Narrative
H.3.A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.B.3.Date of event: unknown.The date received by manufacturer has been used for this field.
 
Event Description
It was reported when using the bd vacutainer® sst¿ ii advance plus blood collection tubes has gel smeared after centriguration.The following information was provided by the initial reporter.The customer stated: "we had a new case today on reference 368498, lot 3086937.1st photo: after cenrifugation, the tube comes out of the cobas in error.2nd photo: after recentrifugation.".
 
Event Description
It was reported when using the bd vacutainer® sst¿ ii advance plus blood collection tubes has gel smeared after centriguration.The following information was provided by the initial reporter.The customer stated: "we had a new case today on reference (b)(4), lot 3086937.1st photo: after cenrifugation, the tube comes out of the cobas in error.2nd photo: after recentrifugation.".
 
Manufacturer Narrative
H.6 investigation summary.Bd had not received samples, but 2 photos were provided for investigation.The photos were reviewed and the indicated failure mode for gel air bubbles and poor barrier separation was observed.Additionally, retention samples from bd inventory were visually inspected with no gel issues identified.Complaints for sample quality are under statistical control for the month of june 2023.At this time, further testing is not indicated.Based on a review of the device history record for the incident lot, all product specifications and requirements for lot release were met.There were no related quality issues during manufacturing of the product.This complaint has been confirmed for gel air bubbles and poor barrier separation based on the photos provided.Bd was not able to identify a root cause for the indicated failure mode.Complaints received for this device and reported condition will continue to be tracked and trended.Our business team regularly reviews the collected data for identification of emerging trends.Bd quality will continue to monitor sample quality complaints.
 
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Brand Name
BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES
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
8448235433
MDR Report Key17214654
MDR Text Key318292357
Report Number9617032-2023-00798
Device Sequence Number1
Product Code JKA
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
BK050036
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 07/10/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/28/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number368498
Device Lot Number3086937
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received06/08/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured03/27/2023
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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