MAUDE Adverse Event Report: BECTON, DICKINSON AND COMPANY (BD) BD VACUTAINER® 9NC 0.129M PLUS BLOOD COLLECTION TUBES; TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION

Catalog Number	363080
Medical Device Problem Code	Short Fill (1575)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	07/09/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
B3: date of event is unknown.The date received by manufacturer has been used for this field.A device evaluation and/or device history review is anticipated but is not complete.Upon completion, a supplemental report will be filed.
Event or Problem Description
It was reported while using bd vacutainer® plus citrate tube, an unspecified number of samples were underfilled.There was no health impact or consequences reported.
Additional Manufacturer Narrative
The following fields were updated due to additional information: b.5 describe event or problem: it was reported while using the bd vacutainer® 9nc 0.129m plus blood collection tubes, an unspecified number of samples were underfilled.There was no health impact or consequences reported.D1: medical device brand name: bd vacutainer® 9nc 0.129m plus blood collection tubes d4.Medical device catalog #: 363080 d4.Medical device lot #: 5015927 d4.Medical device expiration date: 15-jan-2026 h4.Device manufacture date: 31-jul-2025 d.4 udi#: (b)(4).D9: device available for evaluation: yes h.3 device eval by manufacturer? yes d9: returned to manufacturer on: 20-aug-2025 investigation summary bd received three samples for investigation, which were inspected with no issues identified.Additionally, 100 retained samples were inspected with no visible defects found.Functional tests were conducted on 10 retained samples, and all tubes were found to be within specification limits.Based on a review of the device history record for the incident lot, all product specifications and requirements for lot release were met.This complaint has not been confirmed for the indicated failure mode: no fill/no vacuum.Complaints received for this device and reported condition will continue to be tracked and trended.Information will be captured on trend reports and monitored.Our business team regularly reviews the collected data for the identification of emerging trends.
Event or Problem Description
It was reported while using the bd vacutainer® 9nc 0.129m plus blood collection tubes, an unspecified number of samples were underfilled.There was no health impact or consequences reported.

• Brand Name: BD VACUTAINER® 9NC 0.129M PLUS BLOOD COLLECTION TUBES
• Common Device Name: TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION
• Manufacturer (Section D): BECTON, DICKINSON AND COMPANY (BD); belliver way; belliver industrial estate; plymouth ; UK
• Manufacturer (Section G): BECTON, DICKINSON AND COMPANY (BD); belliver way; belliver industrial estate; plymouth ; UK
• Manufacturer Contact: matt j. connor ; 7 loveton circle; sparks, MD 21152 ; 4103164000
• MDR Report Key: 22646760
• Report Number: 9617032-2025-01381
• Device Sequence Number: 21023411
• Product Code: JKA
• UDI-Device Identifier: 30382903630807
• UDI-Public: (01)30382903630807(17)250731(10)5015927
• Combination Product (Y/N): N
• Initial Reporter Country: NP
• PMA/510(K) Number: K013971
• Number of Events Summarized: 1
• 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,Followup
• Report Date (Section B): 09/12/2025

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 Expiration Date: 07/31/2025
• Device Catalogue Number: 363080
• Device Lot Number: 5015927
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 07/09/2025
• Supplement Date Received by Manufacturer: 09/15/2025
• Initial Report FDA Received Date: 07/29/2025
• Supplement Report FDA Received Date: 10/15/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 01/15/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• 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