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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON & CO., (BD) BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES; BLOOD SPECIMEN COLLECTION DEVICE

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BECTON, DICKINSON & CO., (BD) BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES; BLOOD SPECIMEN COLLECTION DEVICE Back to Search Results
Catalog Number 367986
Device Problem Device Markings/Labelling Problem (2911)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/20/2022
Event Type  malfunction  
Event Description
It was reported when using the bd vacutainer® sst¿ blood collection tubes, the device experienced expired tubes.This event occurred once.The following information was provided by the initial reporter.The customer stated: it was reported by the customer that they used expired tubes.Sat oct 22 14:01:11 utc 2022 - patient fields updated: hazard, injury or erroneous results? no.Hazard, injury or erroneous results details.Sat oct 22 14:00:50 utc 2022 - patient fields updated: hazard, injury or erroneous results? no.Hazard, injury or erroneous results details.Paola mendoza : (b)(6) 2022 19:14:13 (gmt) subject: email (b)(6) 2022, 1:55:14 pm.User: paola mendoza.Created on: (b)(6) 2022 18:55:15.Call activity comment: information sent by e mail.Elizabeth hoosier : (b)(6) 2022 14:37:54 (gmt).Reviewed, all info present.Elizabeth hoosier : (b)(6) 2022 14:37:40 (gmt) non-complaint rationale - based on the information provided, our conclusion is that the concern cited does not meet our criteria of a complaint ¿ refer to complaint determination decision tree (b)(4).Catherine chong : (b)(6) 2022 09:42:43 (gmt) customer inquiry/problem: customer is inquiring on product stability data that would support the use of the tube 49 days past the expiry date.Customer stated that samples were taken in bd part number 367986 past the expiry date.The lot in question is 1230964 with an expiry date of 2022-08-31 and these were last used yesterday, october 18th.The expired tubes were discovered today, october 19th but customer cannot confirm how many were used although the site has only ever received 500 each of this lot so customer believed < 100 could have been impacted.Steps taken with customer: documented inquiry as request for information.Outcome/resolution: pending, transferred to trained associate to contact customer.Rationale why no complaint is required: request for information only, customer is not alleging a defect.Catherine chong : (b)(6) 2022 09:42:08 (gmt) subject: email (b)(6) 2022, 5:19:15 pm.User: catherine chong.Created on: (b)(6) 2022 09:19:15.Call activity comment: null.Catherine chong : (b)(6) 2022 09:35:43 (gmt) customer is inquiring on product stability data that would support the use of the tube 49 days past the expiry date.
 
Manufacturer Narrative
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 when using the bd vacutainer® sst¿ blood collection tubes, the device experienced expired tubes.This event occurred once.The following information was provided by the initial reporter.The customer stated: "they used expired tubes." customer stated that samples were taken in bd part number 367986 past the expiry date.The lot in question is 1230964 with an expiry date of 2022-08-31 and these were last used yesterday, october 18th.The expired tubes were discovered today, october 19th but customer cannot confirm how many were used although the site has only ever received 500 each of this lot so customer believed < 100 could have been impacted.
 
Manufacturer Narrative
H.6.Investigation summary: bd had not received samples, but one (1) customer photo was received for review and analysis.Bd is unable to confirm the customers reported defect.Tube was expired prior to the awareness, however the failure mode cannot be confirmed due to the limited information provided.Based on a review of the device history record for the incident lot, all product specifications and requirements for lot release were met.There were no related quality issues during manufacturing of the product.Bd was not able to identify a root cause for the indicated failure mode.
 
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Brand Name
BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES
Type of Device
BLOOD SPECIMEN COLLECTION DEVICE
Manufacturer (Section D)
BECTON, DICKINSON & CO., (BD)
1575 airport road
sumter SC 29153
Manufacturer (Section G)
BECTON, DICKINSON & CO., (BD)
1575 airport road
sumter SC 29153
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key15718546
MDR Text Key303039086
Report Number1024879-2022-00637
Device Sequence Number1
Product Code JKA
UDI-Device Identifier00382903679867
UDI-Public00382903679867
Combination Product (y/n)N
Reporter Country CodeCA
PMA/PMN Number
BK050036
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 11/30/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/02/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Expiration Date08/31/2022
Device Catalogue Number367986
Device Lot Number1230964
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received11/30/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured08/18/2021
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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