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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON BD SHARPS COLL 7.6L 24; SHARPS CONTAINER

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BECTON DICKINSON BD SHARPS COLL 7.6L 24; SHARPS CONTAINER Back to Search Results
Catalog Number 5460-ZKP
Device Problem Crack (1135)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 12/21/2021
Event Type  malfunction  
Event Description
It was reported that the bd sharps coll 7.6l 24 had a cracked lid.There was no patient involvement.The following information was provided by the initial reporter: "crack lid.".
 
Manufacturer Narrative
Oem manufacturer: the site is an oem manufacturing site.Therefore, bd corporate headquarters in (b)(4) has been listed and the (b)(4) fda registration number has been used for the manufacture report number.Date of event: unknown.The date received by manufacturer has been used for this field.Medical device expiration date: na.Initial reporter address 1: (b)(6).Initial reporter facility: (b)(6).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 the bd sharps coll 7.6l 24 had a cracked lid.There was no patient involvement.The following information was provided by the initial reporter: "crack lid.".
 
Manufacturer Narrative
The following fields were updated due to additional information: d9: device available for eval yes.D9: returned to manufacturer on: 28-dec-2021.H6: investigation summary: samples were received and tested by our quality team.The cracks were clearly present and the complaint was verified.The investigation was then forwarded to the supplier for discovery of a possible root cause.The supplier found no irregularities or issues with the production and quality inspections of these containers.The root cause remains unknown but it is very possible that the crack occurred during distributing/ repackaging.A device history review was conducted for lot number 1f802 h3 other text : see h10.
 
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Brand Name
BD SHARPS COLL 7.6L 24
Type of Device
SHARPS CONTAINER
Manufacturer (Section D)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
Manufacturer (Section G)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key13259722
MDR Text Key286753182
Report Number2243072-2021-03127
Device Sequence Number1
Product Code MMK
Combination Product (y/n)N
Reporter Country CodeSN
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 05/10/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number5460-ZKP
Device Lot Number1F802
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 12/21/2021
Initial Date FDA Received01/14/2022
Supplement Dates Manufacturer Received05/10/2022
Supplement Dates FDA Received05/24/2022
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/09/2021
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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