FDA Adverse Event Malfunction Summary report: N

BD BACTEC¿ PLATELET ANAEROBIC/F CULTURE VIALS

MDR report key: 12870008 · Received November 24, 2021

Report

Report Number
2647876-2021-00298
Event Type
Malfunction
Date Received
November 24, 2021
Date of Event
October 29, 2021
Report Date
January 19, 2022
Manufacturer
BECTON DICKINSON CARIBE LTD.
Product Code
MZC
PMA / PMN Number
BK180211
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

H.6. INVESTIGATION: CUSTOMER REPORTED ONE CASE WITHOUT CARTON LABEL ID. PHOTOS WITHOUT THE CARTON LABEL WERE PROVIDED. BD WAS UNABLE TO REPRODUCE CUSTOMER¿S EXPERIENCE WITH THE BACTEC PRODUCT. SATISFACTORY RESULTS WERE OBTAINED FROM RETENTION SAMPLES WHEN VISUALLY INSPECTED FOR PRESENCE OF CARTON LABEL. BATCH HISTORY RECORD REVIEW DID NOT IDENTIFY ANY EVIDENCE FOR WHICH THE CUSTOMER SUBMITTED THE COMPLAINT. A COMPLAINT HISTORY REVIEW WAS CONDUCTED AND ONLY THE CURRENT COMPLAINT WAS FOUND RELATING TO THE INCIDENT LOT NUMBER AND THE ¿AS REPORTED¿ DEFECT CODE. COMPLAINT IS CONFIRMED BASED ON PHOTOS PROVIDED BY THE CUSTOMER. TECHNICAL ASSESSMENT WAS PERFORMED BY THE ENGINEERING DEPARTMENT TO DETERMINE IF THE LABELER ACCRAPLY CARTON CASE HAD MECHANICAL ISSUES AND/OR BREAKDOWNS DURING THE PACKAGING PROCESS OF AFOREMENTIONED BATCH. THE ENGINEERING INVESTIGATION REVEALED THAT PREVENTIVE MAINTENANCE TO THE ACCRAPLY CARTON CASE MACHINE WAS COMPLETED ON TIME AS SCHEDULED. UPON EVALUATION OF BREAKDOWNS / INCIDENTS REPORTS, THERE WERE NO CARTON LABEL APPLICATION ISSUES REPORTED. THERE ARE ENGINEERING CONTROLS TO AVOID THIS TYPE OF DEFECT AND AS A PREVENTIVE ACTION THE MACHINE WAS VERIFIED, AND IT WAS FOUND WORKING AS EXPECTED. NO TREND HAS BEEN IDENTIFIED FOR THIS TYPE OF DEFECT. A CROSS FUNCTIONAL TEAM CONTINUALLY MONITORS ALL PRODUCT COMPLAINTS FOR TRENDS AND DETERMINES IF ANY ADDITIONAL ACTIONS ARE NECESSARY BEYOND THE CURRENT INVESTIGATIONAL PROCESS.

Description of Event or Problem · 0

IT WAS REPORTED THAT PRIOR TO USE, 50 BD BACTEC¿ PLATELET ANAEROBIC/F CULTURE VIALS HAD NO LABEL. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: CUSTOMER FOUND 1 BOX OF BD PLATELET ANAEROBIC MEDIA HAD NOT LABEL ON BOX.

Description of Event or Problem · 0

IT WAS REPORTED THAT PRIOR TO USE, 50 BD BACTEC¿ PLATELET ANAEROBIC/F CULTURE VIALS HAD NO LABEL. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: CUSTOMER FOUND 1 BOX OF BD PLATELET ANAEROBIC MEDIA HAD NOT LABEL ON BOX.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1770517 BD BACTEC¿ PLATELET ANAEROBIC/F CULTURE VIALS SYSTEM, DETECTION, BACTERIAL, FOR PLATELET TRANSFUSION PRODUCTS MZC BECTON DICKINSON CARIBE LTD. 1184767

Patients

Seq Age Sex Outcome Treatment
1 Unknown