FDA Adverse Event Malfunction Summary report: N

BD BBL¿ CHOCOLATE II AGAR (GC II AGAR WITH HEMOGLOBIN AND ISOVITALEX¿)

MDR report key: 15259005 · Received August 19, 2022

Report

Report Number
1119779-2022-01133
Event Type
Malfunction
Date Received
August 19, 2022
Date of Event
August 10, 2022
Report Date
April 8, 2023
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
JTY
UDI-DI
10382902212673
PMA / PMN Number
PREAMENDMENT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED BUT IS NOT COMPLETE.

Additional Manufacturer Narrative · 0

H.6 INVESTIGATION SUMMARY: DURING MANUFACTURING OF MATERIAL 221267, MEDIA IS FORMULATED AND SENT THROUGH A HIGH TEMPERATURE SHORT TIME STERILIZER TO REMOVE BIOBURDEN. THE PETRI DISHES ARE SUBJECTED TO UV RADIATION TO DECREASE BIOBURDEN. THE PETRI DISHES ARE FILLED IN A POSITIVE PRESSURE HEPA FILTERED ENVIRONMENT. THE FILLED PLATES ARE COOLED AND IMMEDIATELY WRAPPED INTO SLEEVES TO DECREASE THE INTRODUCTION OF MICROBES. SLEEVES ARE THEN PACKAGED INTO CARTONS AND THEN TRANSFERRED TO A REFRIGERATED TRUCK (2 TO 8 DEGREES C) FOR SHIPMENT TO THE DISTRIBUTOR. BD DISTRIBUTORS ARE PROVIDED WITH THE STORAGE GUIDELINES FOR THE SHIPPING AND HANDLING OF BD MEDIA OF 2 TO 8 DEGREES C IN A DARK PLACE. THE BATCH HISTORY RECORD FOR BATCH 2159542 WAS SATISFACTORY AND NO QUALITY NOTIFICATIONS WERE GENERATED DURING MANUFACTURING AND INSPECTION. THE RELEASE TESTING THAT IS PERFORMED ON THIS PRODUCT DOES INCLUDE BIOBURDEN TESTING. A SAMPLE OF PLATES ARE INCUBATED AT 25 DEGREES C AND AT 35 DEGREES C FOR APPROXIMATELY 72 HOURS. ALL BIOBURDEN TESTING PERFORMED ON THIS BATCH WAS SATISFACTORY PER BD INTERNAL PROCEDURES. AFFECTED PRODUCT DOES NOT HAVE ANY STERILITY CLAIMS; THE PRODUCT IS TESTED FOR BIOBURDEN PRIOR TO RELEASE TO ENSURE THAT IT CONFORMS TO PRODUCT SPECIFICATIONS. HOWEVER, THIS DOES NOT ENSURE THAT THE END-USER WILL NOT RECEIVE A CONTAMINATED PLATE. THE COMPLAINT HISTORY WAS REVIEWED, AND NO OTHER COMPLAINTS HAVE BEEN TAKEN ON BATCH 2159542 FOR CONTAMINATION. THREE PHOTOS WERE RECEIVED FOR INVESTIGATION OF THIS COMPLAINT. THE FIRST PHOTO SHOWS A CLOSE UP OF THE BATCH INFORMATION ON PACKAGING FROM BATCH 2140607. THIS PACKAGING IS NOT FROM A PLATED MEDIA PRODUCT MADE IN SPARKS, MD AND DOES NOT APPLY TO THIS INVESTIGATION. THE SECOND PHOTO SHOWS THE AGAR SURFACE OF PLATE (BATCH NUMBER AND TIME STAMP NOT VISIBLE) WITH CONTAMINATION. THE THIRD PHOTO SHOWS A SLEEVE OF PLATES FROM BATCH 2159542. NO RETENTION SAMPLES WERE AVAILABLE FOR INVESTIGATION. THIS COMPLAINT CAN BE CONFIRMED. NO COMPLAINT TREND FOR THIS DEFECT HAS BEEN IDENTIFIED; NO ACTION ARE INDICATED AT THIS TIME. H3 OTHER TEXT : SEE H.10.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING BD BBL¿ CHOCOLATE II AGAR (GC II AGAR WITH HEMOGLOBIN AND ISOVITALEX¿) CONTAMINATION OCCURRED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER PRODUCT 221267 WAS CONTAMINATED.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING BD BBL¿ CHOCOLATE II AGAR (GC II AGAR WITH HEMOGLOBIN AND ISOVITALEX¿) CONTAMINATION OCCURRED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER PRODUCT 221267 WAS CONTAMINATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2905276 BD BBL¿ CHOCOLATE II AGAR (GC II AGAR WITH HEMOGLOBIN AND ISOVITALEX¿) CULTURE MEDIA, FOR ISOLATION OF PATHOGENIC NEISSERIA JTY BECTON, DICKINSON & CO. (SPARKS) 221267 2159542 10382902212673

Patients

Seq Age Sex Outcome Treatment
1 Unknown