MAUDE Adverse Event Report: BECTON DICKINSON & CO. (SPARKS) BD BACTEC¿ FX TOP; SYSTEM, BLOOD CULTURING

Catalog Number	441385
Medical Device Problem Code	Leak/Splash (1354)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	12/19/2024
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
A device evaluation is anticipated but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
Event or Problem Description
It was reported while removing a glass sample bottle from the bd bactec¿ fx top, the bottle broke causing sample to leak into the instrument.No report of adverse impact to patient or user.
Additional Manufacturer Narrative
The following fields were updated with additional information: it was reported while removing a glass sample bottle from the bd bactec¿ fx top, the bottle broke causing sample to leak into the instrument.The user was exposed to the patient sample.No health impact was reported.No report of adverse impact to patient.
Event or Problem Description
It was reported while removing a glass sample bottle from the bd bactec¿ fx top, the bottle broke causing sample to leak into the instrument.The user was exposed to the patient sample.No health impact was reported.No report of adverse impact to patient.
Additional Manufacturer Narrative
Investigation summary: this complaint alleges a bottle broke while removing it from the bactec fx.The customer has tried to clean the instrument but is still seeing liquid in the instrument.The customer clarified that bottle contents did drip on an employee, however there was no impact reported.A bd field service engineer (fse) went to the customer site and observed that the rack with clean and clear of fluids.There were no instrument issues present, the unit is working properly.This complaint is unconfirmed, and the root cause is unknown.No samples were expected to be received as part of this complaint, and therefore no samples were returned, and no returned material investigation could occur.Dhr review is not required for this complaint as this complaint does not allege an early life failure or failure at installation and the configuration has changed since release for manufacturing due to service repairs/pms.Service history review revealed there were no previous complaints for this issue.Bd quality will continue to monitor for trends associated with the failure mode described in this complaint.Review of risk management files confirms there are no new or modified risks associated with this failure mode.
Event or Problem Description
It was reported while removing a glass sample bottle from the bd bactec¿ fx top, the bottle broke causing sample to leak into the instrument.The user was exposed to the patient sample.No health impact was reported.No report of adverse impact to patient.

• Brand Name: BD BACTEC¿ FX TOP
• Common Device Name: SYSTEM, BLOOD CULTURING
• 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: matt j. connor ; 7 loveton circle; sparks, MD 21152 ; 4103164000
• MDR Report Key: 21148105
• Report Number: 1119779-2025-00008
• Device Sequence Number: 9602771
• Product Code: MDB
• UDI-Device Identifier: 00382904413859
• UDI-Public: (01)00382904413859(11)170103
• Combination Product (Y/N): N
• Initial Reporter State: CA
• Initial Reporter Country: US
• PMA/510(K) Number: K915796
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Other,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 04/17/2025

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 Number: 441385
• 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: 12/19/2024
• Supplement Date Received by Manufacturer: 02/05/2025; 04/17/2025
• Initial Report FDA Received Date: 01/14/2025
• Supplement Report FDA Received Date: 02/24/2025; 05/07/2025
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 01/03/2017
• 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 Number: 1
• Patient Sex: Unknown