BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES
Report
- Report Number
- 9617032-2023-00817
- Event Type
- Malfunction
- Date Received
- June 29, 2023
- Date of Event
- June 14, 2023
- Report Date
- July 27, 2023
- Manufacturer
- BECTON, DICKINSON AND COMPANY (BD)
- Product Code
- JKA
- PMA / PMN Number
- BK050036
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FI
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
H.3. A DEVICE EVALUATION IS ANTICIPATED, BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED. B.3. DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD.
THE FOLLOWING FIELDS HAVE BEEN UPDATED WITH CORRECTED AND/OR ADDITIONAL INFORMATION. D9: DEVICE AVAILABLE FOR EVALUATION: YES. D9: RETURNED TO MANUFACTURER ON: 2023-07-12. H.6. INVESTIGATION SUMMARY: BD RECEIVED (B)(4) FOR INVESTIGATION. EVALUATION OF THE ATTACHED PHOTOGRAPH SHOWED(B)(4) TUBES - (B)(4) OF THEM HAD BUBBLES IN THE GEL AT ITS BASE, AND (B)(4) TUBE WAS OBSERVED WITH INSUFFICIENT GEL. EVALUATION OF RETURNED SAMPLES INDICATED (B)(4) HAD BUBBLES IN THE GEL AND (B)(4) HAD AN INSUFFICIENT GEL. ADDITIONALLY, (B)(4) WERE VISUALLY INSPECTED, AND (B)(4) TUBES CONTAINING BUBBLES IN THE GEL WERE FOUND. BASED ON A REVIEW OF THE DEVICE HISTORY RECORD FOR THE INCIDENT LOT, ALL PRODUCT SPECIFICATIONS AND REQUIREMENTS FOR LOT RELEASE WERE MET. THERE WERE NO RELATED QUALITY ISSUES DURING MANUFACTURING OF THE PRODUCT. THIS COMPLAINT HAS BEEN CONFIRMED FOR GEL AIR BUBBLES AND INSUFFICIENT GEL. BD WAS NOT ABLE TO IDENTIFY A ROOT CAUSE FOR THE INDICATED FAILURE MODE.
IT WAS REPORTED WHEN USING THE BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES HAVE BUBBLES IN GEL, SOME HAS INSUFFICIENT GEL, AND SOME TUBES FEEL STICKY. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER. THE CUSTOMER STATED: "BUBBLES IN GEL CUSTOMER WOULD LIKE TO INFORM THAT THEY ARE CURRENTLY INVESTIGATING A QUALITY DEFECT FOUND IN THE SERUM GEL TUBES: (B)(6) NOTICED THAT THE 5 ML SERUM GEL TUBES (REF 368498) HAVE INCORRECT TUBES IN LOT 2332698. THERE ARE EITHER AIR BUBBLES IN THE GEL, OR THERE IS TOO LITTLE GEL IN THE TUBE. APPARENTLY, GEL HAS ALSO BEEN SPILLED ON THE OUTER SURFACES OF THE TUBES DURING MANUFACTURING, AS SOME OF THE TUBES FEEL STICKY."
IT WAS REPORTED WHEN USING THE BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES HAVE BUBBLES IN GEL, SOME HAS INSUFFICIENT GEL, AND SOME TUBES FEEL STICKY. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER. THE CUSTOMER STATED: "BUBBLES IN GEL CUSTOMER WOULD LIKE TO INFORM THAT THEY ARE CURRENTLY INVESTIGATING A QUALITY DEFECT FOUND IN THE SERUM GEL TUBES: (B)(4) LABORATORY NOTICED THAT THE 5 ML SERUM GEL TUBES (REF (B)(4)) HAVE INCORRECT TUBES IN LOT 2332698. THERE ARE EITHER AIR BUBBLES IN THE GEL, OR THERE IS TOO LITTLE GEL IN THE TUBE. APPARENTLY, GEL HAS ALSO BEEN SPILLED ON THE OUTER SURFACES OF THE TUBES DURING MANUFACTURING, AS SOME OF THE TUBES FEEL STICKY."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1278476 | BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES | BLOOD SPECIMEN COLLECTION DEVICE | JKA | BECTON, DICKINSON AND COMPANY (BD) | 2332698 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |