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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON SEDI-40 INSTR. DEFECTIVE ESR INSTRUMENT
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BECTON DICKINSON SEDI-40 INSTR. DEFECTIVE ESR INSTRUMENT Back to Search Results
Catalog Number 36154608
Device Problem Incorrect, Inadequate or Imprecise Result or Readings (1535)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 08/30/2021
Event Type  malfunction  
Manufacturer Narrative
In this mdr, bd corporate headquarters in (b)(4) has been listed as (b)(4) is an oem manufacturing site. Medical device expiration date: unknown. 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 when using the sedi-40 instr. Defective, the device experienced hardware / software malfunction for the esr instrument. The following information was provided by the initial reporter. The customer stated: instrument not powering on.
 
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Brand NameSEDI-40 INSTR. DEFECTIVE
Type of DeviceESR INSTRUMENT
Manufacturer (Section D)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
MDR Report Key12568266
Report Number2243072-2021-02442
Device Sequence Number1
Product Code GHC
Combination Product (y/n)N
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,other,user facility
Type of Report Initial,Followup
Report Date 10/12/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/04/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number36154608
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer09/10/2021
Was the Report Sent to FDA?
Event Location No Information
Date Manufacturer Received10/12/2021
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
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