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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON & CO. (SPARKS) BD TOTALYS MULTIPROCESSOR CONSUMABLES KIT, 480

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BECTON, DICKINSON & CO. (SPARKS) BD TOTALYS MULTIPROCESSOR CONSUMABLES KIT, 480 Back to Search Results
Model Number 491453
Device Problem Device Markings/Labelling Problem (2911)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/08/2023
Event Type  malfunction  
Manufacturer Narrative
Medical device expiration date: unknown.Device manufacture date: unknown.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 totalys multiprocessor consumables kit, 480 that there were missing labels.The following information was provided by the initial reporter: this is a report about a labeling issue.According to the customer¿s information, a centrifuge tube without a label was found before usage.
 
Event Description
It was reported that while using the bd totalys multiprocessor consumables kit, 480 that there were missing labels.The following information was provided by the initial reporter: this is a report about a labeling issue.According to the customer¿s information, a centrifuge tube without a label was found before usage.
 
Manufacturer Narrative
The following fields have been updated with corrected and/or additional information.D9: device available for evaluation: yes.D9: returned to manufacturer on: 2023-02-21.H.6.Investigation summary: the customer complained about a centrifuge tube from an unknown lot number of catalog 491453 missing a 2d barcode label.Material 500024399 is a purchased subcomponent that is used in catalog 491453.The customer communicated that the lot number of 500024399 that was missing the 2d barcode was supplier lot number 20u1321.A dhr review of 491453 could not be performed because a lot number was not provided.However, material 500024399 is a purchased subcomponent that is used in catalog 491453.The centrifuge tubes are polypropylene plastic injection molded parts purchased from an approved bd supplier.The supplier applies a 2-dimensional barcode on the tubes that is used to support automated chain of custody for the specimen.When received into the bd mebane, nc facility they are subjected to incoming qc inspection using an ansi, single sampling, level i, at an aql of 1.0%.A review of the inspection documentation identified that 500024399 lot 20u1321 was received and inspected on two occasions without any issues identified.A retain analysis could not be conducted because retain samples of this product are not kept by bd.Two pictures were provided by the customer.One of the pictures contains a picture of one tube without the label and the 2nd picture is a picture of the bag label.The unlabeled tube and bag label were also returned to the mebane, nc location.The complaint is confirmed.Bd apologizes for the inconvenience caused by the issue.
 
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Brand Name
BD TOTALYS MULTIPROCESSOR CONSUMABLES KIT, 480
Type of Device
NA
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
8448235433
MDR Report Key16493102
MDR Text Key310967376
Report Number1119779-2023-00235
Device Sequence Number1
Product Code MKQ
UDI-Device Identifier00382904914530
UDI-Public00382904914530
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
P970018
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 08/10/2023
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 Model Number491453
Device Catalogue Number491453
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 02/08/2023
Initial Date FDA Received03/06/2023
Supplement Dates Manufacturer Received08/10/2023
Supplement Dates FDA Received08/14/2023
Was Device Evaluated by Manufacturer? Yes
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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