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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON & CO. (SPARKS) BD SERO-FUGE¿ 2002 CENTRIFUGE, 2 SPEED, 115V; SEE H10

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BECTON, DICKINSON & CO. (SPARKS) BD SERO-FUGE¿ 2002 CENTRIFUGE, 2 SPEED, 115V; SEE H10 Back to Search Results
Catalog Number 420352
Device Problem Unintended Movement (3026)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/07/2022
Event Type  malfunction  
Manufacturer Narrative
In this mdr, bd ds headquarters in (b)(4) has been listed as the drucker co., inc.Is an oem manufacturing site.Common device name: equipment, laboratory, general purpose, labeled and promoted for a specific medical use a device evaluation is anticipated but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.Device manufacture date: unknown.
 
Event Description
It was reported that during use with the bd sero-fuge¿ 2002 centrifuge, 2 speed, 115v, the rotor spun with the lid unlocked.There was no report of user impact.The following information was provided by the initial reporter: customer mentioned that the rotor spins while the lid is unlocked.Advised the customer to stop using the unit and use extreme caution when troubleshooting any issues.
 
Manufacturer Narrative
H6 investigation summary: root cause is not determined, and this complaint is not a confirmed failure of the instrument as the instrument was not returned to investigate.Review of device history record for instrument serial number, 3560134 is not required because this complaint does not allege an early life failure or failure at installation and has changed configuration since release from manufacturing due to service repairs/pms.Service history review was performed for the instrument 3560134, and no additional work orders were observed for the complaint failure mode reported.Review of risk management files confirms there are no new or modified risks associated with this failure mode.There are no corrective action plans or other corrections occurring.Bd quality will continue to closely monitor trends associated with the failure of ¿safety.¿ capa is not required as no trends were identified.Complaint history for "safety" was reviewed for the month of july 2022.The upper control limit was not breached, and trends were not identified associated with this defect.Review of risk management documentation indicates that the potential risk of the reported failure mode was assessed as severity s3, centrifuge not functioning correctly, and operator is aware resulting in customer annoyance via document baltrm-oemcent-aph, revision 01, row id 13.8.
 
Event Description
It was reported that during use with the bd sero-fuge¿ 2002 centrifuge, 2 speed, 115v, the rotor spun with the lid unlocked.There was no report of user impact.The following information was provided by the initial reporter: customer mentioned that the rotor spins while the lid is unlocked.Advised the customer to stop using the unit and use extreme caution when troubleshooting any issues.
 
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Brand Name
BD SERO-FUGE¿ 2002 CENTRIFUGE, 2 SPEED, 115V
Type of Device
SEE H10
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 Key15077027
MDR Text Key301260778
Report Number1119779-2022-01013
Device Sequence Number1
Product Code LXG
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
NA
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 10/21/2022
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 Number420352
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 07/07/2022
Initial Date FDA Received07/21/2022
Supplement Dates Manufacturer Received10/21/2022
Supplement Dates FDA Received11/02/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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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