BECTON, DICKINSON AND COMPANY BD MICROTAINER MAP K2EDTA 1.0 MG; TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION
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Model Number 363706 |
Device Problem
Therapeutic or Diagnostic Output Failure (3023)
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Patient Problem
Thrombosis/Thrombus (4440)
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Event Date 09/16/2021 |
Event Type
malfunction
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Event Description
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Narrative from staff: rn drew sample for a cbc (complete blood count) from a umbilical artery catheter and sent it to the lab in a lavender microtainer and it ended up clotting.Staff drew a second from the umbilical artery catheter and it also clotted.Then, a third draw sample from the umbilical artery catheter and it clotted as well.A fourth sample from the umbilical artery catheter was drawn and a microtainer was used from a different lot number and it did not clot.We are suspicious that it may be the batch of tubes and have pulled them from the supply area.Manufacturer response for bd microtainer map, (brand not provided) (per site reporter): we have contacted the manufacturer representative.
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