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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON & CO., (BD) BD VACUTAINER® ULTRATOUCH¿ PUSH BUTTON BLOOD COLLECTION SET WITH PAH; BLOOD COLLECTION SET, INVASIVE

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BECTON, DICKINSON & CO., (BD) BD VACUTAINER® ULTRATOUCH¿ PUSH BUTTON BLOOD COLLECTION SET WITH PAH; BLOOD COLLECTION SET, INVASIVE Back to Search Results
Catalog Number 368689
Medical Device Problem Code Unsealed Device Packaging (1444)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/07/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
D2b: additional medical device type: jka.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 when before the bd vacutainer® ultratouch¿ push button blood collection set with pah there were an unspecified number of devices that were delivered with open blister packs rendering them non-sterile.No adverse impact was reported regarding the patient or user.
 
Event or Problem Description
It was reported when before thebd vacutainer® ultratouch¿ push button blood collection set with pah there were an unspecified number of devices that were delivered with open blister packs rendering them non-sterile.No adverse impact was reported regarding the patient or user.
 
Additional Manufacturer Narrative
Investigation summary: bd received 4 photos for investigation.The photos show an open device from the blister packaging.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 been confirmed for the indicated failure mode: open package/seal.Bd was not able to identify a root cause for the indicated failure mode.Based on the low defect rate for the batch in question, no actions are planned at this time.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.
 
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Brand Name
BD VACUTAINER® ULTRATOUCH¿ PUSH BUTTON BLOOD COLLECTION SET WITH PAH
Common Device Name
BLOOD COLLECTION SET, INVASIVE
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
anand singh
1 becton drive
franklin lakes, NJ 07417
2018475186
MDR Report Key23452002
Report Number1024879-2025-01689
Device Sequence Number9040850
Product Code FPA
UDI-Device Identifier00382903686896
UDI-Public(01)00382903686896
Combination Product (Y/N)N
Initial Reporter CountryQA
PMA/510(K) Number
K212724
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign,Distributor
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 02/18/2026
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 Number368689
Device Lot Number5178756
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 10/07/2025
Supplement Date Received by Manufacturer02/18/2026
Initial Report FDA Received Date11/03/2025
Supplement Report FDA Received Date03/19/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured06/27/2025
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 Number1
Patient SexUnknown
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