FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® BLOOD COLLECTION TUBES BUFFERED SODIUM CITRATE 0.3ML - 0.109M

MDR report key: 16320130 · Received February 8, 2023

Report

Report Number
9617032-2023-00142
Event Type
Malfunction
Date Received
February 8, 2023
Date of Event
January 26, 2023
Report Date
March 27, 2023
Manufacturer
BECTON, DICKINSON AND COMPANY (BD)
Product Code
JKA
UDI-DI
50382903643054
PMA / PMN Number
K013971
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED WITH ADDITIONAL INFORMATION: H6. MAT: 364305. LOTS: 2189016, 2145266, 2277401, 2237440, 7184682 AND, 8163528. BD RECEIVED 7 PHOTOGRAPHS FROM THE CUSTOMER IN SUPPORT OF THIS COMPLAINT SHOWING UNDERFILL. ADDITIONALLY, 20 RETAINED SAMPLES OF EACH BATCH NUMBER (2189016, 2145266, 2277401 AND 2237440) OF THE BD INVENTORY, WERE FUNCTIONALLY TESTED AND IT WAS DETERMINED THAT ALL 80 TUBES DREW WITHIN SPECIFICATION. BD WAS ABLE TO CONFIRM THE CUSTOMER¿S INDICATED FAILURE MODE BASED ON THE PHOTOGRAPHS PROVIDED HOWEVER, THE ISSUE OF UNDERFILL WAS NOT OBSERVED IN THE RETENTION SAMPLE ANALYSIS RESULTS. BD WAS UNABLE TO DETERMINE A ROOT CAUSE FOR THE REPORTED ISSUE OF UNDERFILL. THE EXPIRATION DATES OF THE LOTS NUMBERS INVOLVED WERE: BATCH 7184682 EX. 31/03/2018, BATCH: 8163528 31/03/2019 AND BATCH: 2122532 EX. 31/01/2023 THEREFORE, TUBES FOR THESE LOTS WERE UNABLE TO BE TESTED. THE DEVICE HISTORY RECORDS WERE REVIEWED WITH NO ISSUES BEING IDENTIFIED. THERE WERE NO RELATED QUALITY NOTIFICATIONS. ALL PROCESS AND FINAL INSPECTIONS COMPLY WITH SPECIFICATION REQUIREMENTS. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. INFORMATION WILL BE CAPTURED ON TREND REPORTS AND MONITORED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Additional Manufacturer Narrative · 0

THERE WERE MULTIPLE LOT NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION FOR EACH LOT NUMBER IS AS FOLLOWS: MEDICAL DEVICE LOT #: UNKNOWN, MEDICAL DEVICE EXPIRATION DATE: UNKNOWN, AND DEVICE MANUFACTURE DATE: UNKNOWN. MEDICAL DEVICE LOT #: 7184682, MEDICAL DEVICE EXPIRATION DATE: 31-MAR-2018, AND DEVICE MANUFACTURE DATE: 03-JUL-2017. MEDICAL DEVICE LOT #: 8163528, MEDICAL DEVICE EXPIRATION DATE: 31-MAR-2019, AND DEVICE MANUFACTURE DATE: 12-JUN-2018. MEDICAL DEVICE LOT #: 2189016, MEDICAL DEVICE EXPIRATION DATE: 31-MAR-2023, AND DEVICE MANUFACTURE DATE: 08-JUL-2022. MEDICAL DEVICE LOT #: 2122532, MEDICAL DEVICE EXPIRATION DATE: 31-JAN-2023, AND DEVICE MANUFACTURE DATE: 02-MAY-2022. MEDICAL DEVICE LOT #: 2145266, MEDICAL DEVICE EXPIRATION DATE: 28-FEB-2023, AND DEVICE MANUFACTURE DATE: 25-MAY-2022. MEDICAL DEVICE LOT #: 2277401, MEDICAL DEVICE EXPIRATION DATE: 30-JUN-2023, AND DEVICE MANUFACTURE DATE: 04-OCT-2022. MEDICAL DEVICE LOT #: 2237440, MEDICAL DEVICE EXPIRATION DATE: 31-MAY-2023, AND DEVICE MANUFACTURE DATE: 25-AUG-2022. DEVICE EVALUATED BY MFR: 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 SUMMARY: BD DID NOT RECEIVE SAMPLES OR PHOTOGRAPHS FROM THE CUSTOMER IN SUPPORT OF THIS COMPLAINT. THEREFORE, 20 RETAINED SAMPLES OF EACH BATCH NUMBER (2189016, 2145266, 2277401 AND 2237440) OF THE BD INVENTORY, WERE FUNCTIONALLY TESTED AND IT WAS DETERMINED THAT ALL 80 TUBES DREW WITHIN SPECIFICATION. BD WAS UNABLE TO DUPLICATE OR CONFIRM THE CUSTOMER¿S INDICATED FAILURE MODE OF UNDERFILL BASED ON THE RETENTION SAMPLE TESTING. THE EXPIRATION DATES OF THE LOTS NUMBERS INVOLVED WERE: BATCH 7184682 EX. 31/03/2018, BATCH: 8163528 31/03/2019 AND BATCH: 2122532 EX. 31/01/2023 THEREFORE, TUBES FOR THESE LOTS WERE UNABLE TO BE TESTED. BD WAS UNABLE TO DETERMINE A ROOT CAUSE FOR THE REPORTED ISSUE OF UNDERFILL. THE DEVICE HISTORY RECORDS WERE REVIEWED WITH NO ISSUES BEING IDENTIFIED. THERE WERE NO RELATED QUALITY NOTIFICATIONS. ALL PROCESS AND FINAL INSPECTIONS COMPLY WITH SPECIFICATION REQUIREMENTS. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. INFORMATION WILL BE CAPTURED ON TREND REPORTS AND MONITORED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE WITH 7 KNOWN LOTS AND AN UNKNOWN LOT OF BD VACUTAINER® BLOOD COLLECTION TUBES BUFFERED SODIUM CITRATE 0.3ML - 0.109M THE TUBES WERE UNDERFILLING. THERE WAS NO PATIENT IMPACT REPORTED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM SWEDISH TO ENGLISH: DURING A TIME THE CUSTOMER HAS EXPERIENCED UNDERFILLING OF TUBES. INCIDENT OCCURRED: DURING USE. ADDITIONALLY, THE FSE PROVIDED THE FOLLOWING ADDITIONAL INFORMATION: THE CUSTOMER HAS DONE SOME INTERNAL INVESTIGATION OF THEIR OWN. THEY THINK THAT THE MARK ON THE TUBES ARE IN THE INCORRECT PLACE. THEY THINK THAT IS WHAT CAUSES TUBES TO BE CONSIDERED UNDERFILLED UNNECESSARY. I AM NOT SURE THAT THE INVESTIGATION IS CORRECTLY DONE, AS THEY HAVE TAKEN THAT THE LOWEST VOLUME THAT SHOULD BE ACCEPTED IS 2,4ML BLOOD. I HAVE NOT BEEN ABLE TO SEE IF THIS IS CORRECT OR NOT, SO CANNOT COMMENT ON THEIR INVESTIGATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE WITH 7 KNOWN LOTS AND AN UNKNOWN LOT OF BD VACUTAINER® BLOOD COLLECTION TUBES BUFFERED SODIUM CITRATE 0.3ML - 0.109M THE TUBES WERE UNDERFILLING. THERE WAS NO PATIENT IMPACT REPORTED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM SWEDISH TO ENGLISH: DURING A TIME THE CUSTOMER HAS EXPERIENCED UNDERFILLING OF TUBES. INCIDENT OCCURRED: DURING USE. ADDITIONALLY, THE FSE PROVIDED THE FOLLOWING ADDITIONAL INFORMATION: THE CUSTOMER HAS DONE SOME INTERNAL INVESTIGATION OF THEIR OWN. THEY THINK THAT THE MARK ON THE TUBES ARE IN THE INCORRECT PLACE. THEY THINK THAT IS WHAT CAUSES TUBES TO BE CONSIDERED UNDERFILLED UNNECESSARY. I AM NOT SURE THAT THE INVESTIGATION IS CORRECTLY DONE, AS THEY HAVE TAKEN THAT THE LOWEST VOLUME THAT SHOULD BE ACCEPTED IS 2,4ML BLOOD. I HAVE NOT BEEN ABLE TO SEE IF THIS IS CORRECT OR NOT, SO CANNOT COMMENT ON THEIR INVESTIGATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE WITH 7 KNOWN LOTS AND AN UNKNOWN LOT OF BD VACUTAINER® BLOOD COLLECTION TUBES BUFFERED SODIUM CITRATE 0.3ML - 0.109M THE TUBES WERE UNDERFILLING. THERE WAS NO PATIENT IMPACT REPORTED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM SWEDISH TO ENGLISH: DURING A TIME THE CUSTOMER HAS EXPERIENCED UNDERFILLING OF TUBES. INCIDENT OCCURRED: DURING USE. ADDITIONALLY, THE FSE PROVIDED THE FOLLOWING ADDITIONAL INFORMATION: THE CUSTOMER HAS DONE SOME INTERNAL INVESTIGATION OF THEIR OWN. THEY THINK THAT THE MARK ON THE TUBES ARE IN THE INCORRECT PLACE. THEY THINK THAT IS WHAT CAUSES TUBES TO BE CONSIDERED UNDERFILLED UNNECESSARY. I AM NOT SURE THAT THE INVESTIGATION IS CORRECTLY DONE, AS THEY HAVE TAKEN THAT THE LOWEST VOLUME THAT SHOULD BE ACCEPTED IS 2,4ML BLOOD. I HAVE NOT BEEN ABLE TO SEE IF THIS IS CORRECT OR NOT, SO CANNOT COMMENT ON THEIR INVESTIGATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2316515 BD VACUTAINER® BLOOD COLLECTION TUBES BUFFERED SODIUM CITRATE 0.3ML - 0.109M BLOOD SPECIMEN COLLECTION DEVICE JKA BECTON, DICKINSON AND COMPANY (BD) 364305 SEE H.10 50382903643054

Patients

Seq Age Sex Outcome Treatment
1 Unknown