| Brand Name | BD BACTEC¿ MGIT¿ 960 SIRE Kit |
| Common Device Name | SUSCEPTIBILITY TEST POWDERS, ANTIMYCOBACTERIAL |
| 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
|
|
+1(410)316-4000
|
|
| MDR Report Key | 50325244 |
| Report Number | 1119779-2026-01632 |
| Device Sequence Number | 9983007 |
| Product Code |
MJA
|
| UDI-Device Identifier | 00382902451235 |
| UDI-Public | (01)00382902451235(17)270801(10)6110477 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K003062 |
| 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) |
09/11/2026 |
| 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 | 245123 |
| Device Lot Number | 6110477 |
| 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 | Not provided |
| Supplement Date Received by Manufacturer | 09/04/2026
|
| Initial Report FDA Received Date | 08/19/2026 |
| Supplement Report FDA Received Date | 09/11/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 04/20/2026 |
| 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 |