FDA Adverse Event Malfunction Summary report: N

BD BBL¿ SALMONELLA SHIGELLA AGAR

MDR report key: 16436888 · Received February 24, 2023

Report

Report Number
1119779-2023-00177
Event Type
Malfunction
Date Received
February 24, 2023
Date of Event
February 7, 2023
Report Date
March 2, 2023
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
JSI
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H6: INVESTIGATION SUMMARY: 251181 #2298425. WE COULDN'T CONFIRM THIS ISSUE AS A REPORT FROM ATTACHED PHOTO. THE ISSUE WAS PRECIPITATION. THIS PRODUCT WAS ALREADY EXPIRED WHEN WE RECEIVED THIS REPORT. NO ISSUE WAS IN DHR, RETENTION SAMPLE. NO TREND. WE WILL CONTINUE TO MONITOR THIS LOT.

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.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD BBL¿ SALMONELLA SHIGELLA AGAR BACTERIA WAS FOUND. THE FOLLOWING INFORMATION WAS PROVIDE BY THE INITIAL REPROTED: BEFORE USAGE, THE CUSTOMER FOUND THAT THE MEDIA WAS CONTAMINATED WITH BACTERIA RESEMBLING MOLD. THE MOLD-LIKE MATTER WAS FOUND ON THE SURFACE AND IN THE MEDIA.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD BBL¿ SALMONELLA SHIGELLA AGAR BACTERIA WAS FOUND. THE FOLLOWING INFORMATION WAS PROVIDE BY THE INITIAL REPORTED: BEFORE USAGE, THE CUSTOMER FOUND THAT THE MEDIA WAS CONTAMINATED WITH BACTERIA RESEMBLING MOLD. THE MOLD-LIKE MATTER WAS FOUND ON THE SURFACE AND IN THE MEDIA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2058340 BD BBL¿ SALMONELLA SHIGELLA AGAR CULTURE MEDIA, SELECTIVE AND DIFFERENTIAL JSI BECTON, DICKINSON & CO. (SPARKS) 2298425

Patients

Seq Age Sex Outcome Treatment
1 Unknown