Brand Name | BD VACUTAINER PUSH BUTTON BLOOD COLLECTION SET |
Type of Device | TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION |
Manufacturer (Section D) |
BD |
5859 farinon dr., |
ste 200 |
san antonio, TX 78249 |
|
MDR Report Key | 15833642 |
MDR Text Key | 304017229 |
Report Number | 15833642 |
Device Sequence Number | 1 |
Product Code |
JKA
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
11/09/2022 |
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 |
Health Professional
|
Device Model Number | 367342 |
Device Catalogue Number | 367342 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 11/09/2022 |
Device Age | 0 YR |
Event Location |
Hospital
|
Date Report to Manufacturer | 11/21/2022 |
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 11/21/2022 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
|
|