| Brand Name | PAXgene® Blood RNA Tube |
| Common Device Name | System, blood collection, rna stabilization, rna purification, rt-pcr molecular |
| 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 |
|
anand
singh
|
| 1 becton drive |
| franklin lakes, NJ 07417
|
|
+1(201)847-5186
|
|
| MDR Report Key | 50309162 |
| Report Number | 9617032-2026-01419 |
| Device Sequence Number | 10687934 |
| Product Code |
NTW
|
| UDI-Device Identifier | 04053727621658 |
| UDI-Public | (01)04053727621658(11)250901(17)270228(10)5199079 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TN |
| Initial Reporter Country | US |
| PMA/510(K) Number | K082150 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
08/19/2026 |
| 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 Number | 762165 |
| Device Lot Number | 5199079 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/21/2026 |
| Supplement Date Received by Manufacturer | Not provided
|
| Initial Report FDA Received Date | 08/18/2026 |
| Supplement Report FDA Received Date | 08/21/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 09/01/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|