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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON & CO., (BD) BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES; TUBE SST PLH 13X100MM 5.0ML SLBL GOLD

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BECTON, DICKINSON & CO., (BD) BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES; TUBE SST PLH 13X100MM 5.0ML SLBL GOLD Back to Search Results
Catalog Number 367989
Device Problem Improper or Incorrect Procedure or Method (2017)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/19/2023
Event Type  malfunction  
Event Description
It was reported that customer used bd vacutainer® sst¿ blood collection tubes after the expiration date.This event occurred 1time and no patient impact.The following information was provided by the initial reporter: customer states lot # is unknown.Customer has decided to dispose of tubes.Per customer: the sst was used in a kit for a clinical study ¿ built by labcorp central labs.Customer reports a tube with exp date 30-jun-2023, was used to collect a blood sample on (b)(6) 2023.
 
Manufacturer Narrative
D4.Medical device expiration date: unknown.H4.Device manufacture date: unknown.H.3.A device evaluation and/or device history review is anticipated but is not complete.Upon completion, a supplemental report will be filed.
 
Manufacturer Narrative
H.6.Investigation summary: bd had not received samples or photos for evaluation.Additionally, bd was unable to determine the specific lot number associated with this complaint; therefore, a review of the device history record could not be conducted.This complaint is unable to be confirmed.If additional information is made available, this complaint will be reopened to assess the level of investigation needed.Bd makes no claims on expired product.Complaints received for this device and reported condition will continue to be tracked and trended.H3 other text : see h.10.
 
Event Description
It was reported that customer used bd vacutainer® sst¿ blood collection tubes after the expiration date.This event occurred 1time and no patient impact.The following information was provided by the initial reporter: customer states lot # is unknown.Customer has decided to dispose of tubes.Per customer: the sst was used in a kit for a clinical study ¿ built by labcorp central labs.Customer reports a tube with exp date (b)(6) 2023, was used to collect a blood sample on (b)(6) 2023.
 
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Brand Name
BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES
Type of Device
TUBE SST PLH 13X100MM 5.0ML SLBL GOLD
Manufacturer (Section D)
BECTON, DICKINSON & CO., (BD)
1575 airport road
sumter SC 29153
Manufacturer (Section G)
BECTON, DICKINSON & CO., (BD)
1575 airport road
sumter SC 29153
Manufacturer Contact
jo doyka
7 loveton circle
sparks, MD 21152
4103164000
MDR Report Key18103781
MDR Text Key327755039
Report Number1024879-2023-00803
Device Sequence Number1
Product Code JKA
UDI-Device Identifier50382903679893
UDI-Public(01)50382903679893
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
BK050036
Number of Events Reported1
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 11/15/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/09/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number367989
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received11/15/2023
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
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