FDA Adverse Event Malfunction Summary report: N

BD BBL¿ TRYPTICASE¿ SOY AGAR (SOYBEAN-CASEIN DIGEST AGAR) PLATE 100PK

MDR report key: 16200481 · Received January 18, 2023

Report

Report Number
1119779-2023-00033
Event Type
Malfunction
Date Received
January 18, 2023
Date of Event
January 11, 2023
Report Date
February 24, 2023
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
JSG
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
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. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

H6. INVESTIGATION SUMMARY: 252028 #2276065. WE COULD CONFIRM THIS ISSUE AS A REPORT FROM RETURNED SAMPLE. THE ISSUE WAS CONTAMINATION OF FUNGI. COMPLAINT HISTORY WAS REVIEWED, AND NO OTHER COMPLAINT HAS BEEN TAKEN ON THIS LOT. AT THIS TIME. DHR DID NOT INDICATE ANY DISCREPANCIES. ALL RELEASE TESTING WAS SATISFACTORY AND NO DEVIATIONS WERE OBSERVED. IT INCLUDES BIOBURDEN TESTING. A VISUAL INSPECTION WAS PERFORMED ON 20 RETENTION SAMPLES OF THIS LOT. AS A RESULT, NO DEFECT WAS OBSERVED. NO TREND. THE ROOT CAUSE FOR THIS COULD NOT BE DETERMINED.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD BBL¿ TRYPTICASE¿ SOY AGAR (SOYBEAN-CASEIN DIGEST AGAR) PLATE 100PK MOLD WAS FOUND INS 3 UNOPENED SLEEVES. THE FOLLOWING INFORMATION THE CUSTOMER FOUND MOLD IN 3 UNOPENED SLEEVES.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD BBL¿ TRYPTICASE¿ SOY AGAR (SOYBEAN-CASEIN DIGEST AGAR) PLATE 100PK MOLD WAS FOUND INS 3 UNOPENED SLEEVES. THE FOLLOWING INFORMATION: THE CUSTOMER FOUND MOLD IN 3 UNOPENED SLEEVES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
369567 BD BBL¿ TRYPTICASE¿ SOY AGAR (SOYBEAN-CASEIN DIGEST AGAR) PLATE 100PK CULTURE MEDIA, NON-SELECTIVE AND NON-DIFFERENTIAL JSG BECTON, DICKINSON & CO. (SPARKS) 2276065

Patients

Seq Age Sex Outcome Treatment
1 Unknown