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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON & CO. (SPARKS) BD PREPSTAIN SLIDE PROCESSOR; PROCESSOR, CERVICAL CYTOLOGY SLIDE, AUTOMATED

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BECTON DICKINSON & CO. (SPARKS) BD PREPSTAIN SLIDE PROCESSOR; PROCESSOR, CERVICAL CYTOLOGY SLIDE, AUTOMATED Back to Search Results
Catalog Number 490100
Medical Device Problem Code Structural Problem (2506)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/15/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported while testing with bd prepstain slide processor, the centrifuge lid was not staying open.There was no health impact or consequences reported.
 
Additional Manufacturer Narrative
(b)(6) investigation summary: complaint reports lid failure on centrifuge associated with prepstain (catalog number 490100) serial number (b)(6).Complaint alleges centrifuge lid faulty hydraulic system.Customer advised no one was hurt or injured.Service replaced the centrifuge gas springs and post intervention the centrifuge was operating normally.Root cause attributed to faulty lid gas springs.This complaint is a confirmed failure of the instrument based on the customer investigation.Device history record review is not required because the part that allegedly failed is not tested as part of the manufacturing process but is shipped separately and tested during installation.Service history review was performed for the instrument and no additional work orders were observed for the complaint failure mode reported.Review of risk management files confirms there are no new or modified risks associated with this failure mode.There are no corrective action plans or other corrections occurring.Bd quality will continue to monitor for trends associated with failure of "centrifuge.".
 
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Brand Name
BD PREPSTAIN SLIDE PROCESSOR
Common Device Name
PROCESSOR, CERVICAL CYTOLOGY SLIDE, AUTOMATED
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
jo doyka
7 loveton circle
sparks, MD 21152
4103164000
MDR Report Key19981876
Report Number1119779-2024-00595
Device Sequence Number15547399
Product Code MKQ
UDI-Device Identifier00382904901004
UDI-Public(01)00382904901004
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
P970018
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 07/26/2024
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
Operator of Device Other
Device Catalogue Number490100
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/15/2024
Initial Report FDA Received Date08/14/2024
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/23/2016
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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