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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON & CO (FRANKLIN LAKES) BD VACUTAINER® PPT¿ PLASMA PREPARATION TUBE K2E 9.0 MG; BLOOD/PLASMA COLLECTION DEVICE FOR DNA TESTING

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BECTON DICKINSON & CO (FRANKLIN LAKES) BD VACUTAINER® PPT¿ PLASMA PREPARATION TUBE K2E 9.0 MG; BLOOD/PLASMA COLLECTION DEVICE FOR DNA TESTING Back to Search Results
Catalog Number 362788
Medical Device Problem Code Device Ingredient or Reagent Problem (2910)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/08/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
E.1.Initial reporter facility name: (b)(6).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 prior to using bd vacutainer® ppt¿ plasma preparation tube k2e 9.0 mg, 100 tubes contained gel air bubbles.There was no health impact or consequences reported.
 
Additional Manufacturer Narrative
The following fields were updated due to additional information: d9: device available for evaluation: yes.H.3 device eval by manufacturer? yes.D9: returned to manufacturer on: 08-feb-2026.H.1.Device manufacture date: 01-mar-2025.Investigation summary: bd received 13 samples and 3 photos for investigation.A review of the samples and photos indicated air bubbles in the gel of the tubes.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: gel air bubbles-before use.No definitive root cause could be established for the reported defect.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 prior to using bd vacutainer® ppt¿ plasma preparation tube k2e 9.0 mg, 100 tubes contained gel air bubbles.There was no health impact or consequences reported.
 
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Brand Name
BD VACUTAINER® PPT¿ PLASMA PREPARATION TUBE K2E 9.0 MG
Common Device Name
BLOOD/PLASMA COLLECTION DEVICE FOR DNA TESTING
Manufacturer (Section D)
BECTON DICKINSON & CO (FRANKLIN LAKES)
1 becton drive
franklin lakes NJ 07417
Manufacturer (Section G)
BECTON, DICKINSON & CO. (BROKEN BOW)
150 south 1st avenue
broken bow NE 68822
Manufacturer Contact
anand singh
1 becton drive
franklin lakes, NJ 07417
2018475186
MDR Report Key24260140
Report Number1917413-2026-00039
Device Sequence Number9766706
Product Code PJE
UDI-Device Identifier30382903627883
UDI-Public(01)30382903627883(17)260228(10)5048240
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K972075
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,Followup
Report Date (Section B) 02/10/2026
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 Expiration Date02/28/2026
Device Catalogue Number362788
Device Lot Number5048240
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 01/08/2026
Supplement Date Received by Manufacturer02/24/2026
Initial Report FDA Received Date02/04/2026
Supplement Report FDA Received Date03/23/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/01/2025
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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