FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® PPT¿ PLASMA PREPARATION TUBE K2E 9.0 MG

MDR report key: 18039829 · Received October 31, 2023

Report

Report Number
1917413-2023-01110
Event Type
Malfunction
Date Received
October 31, 2023
Date of Event
October 13, 2023
Report Date
December 1, 2023
Manufacturer
BECTON, DICKINSON & CO. (BROKEN BOW)
Product Code
JKA
UDI-DI
30382903627951
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3: DATE OF EVENT IS UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. THERE WERE MULTIPLE LOT NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION FOR EACH LOT NUMBER IS AS FOLLOWS: D4. MEDICAL DEVICE LOT #: 2321329, D4. MEDICAL DEVICE EXPIRATION DATE: 30-NOV-2023, H4. DEVICE MANUFACTURE DATE: 17-NOV-2022. D4. MEDICAL DEVICE LOT #: 3111753, D4. MEDICAL DEVICE EXPIRATION DATE: 30-APR-2024, H4. DEVICE MANUFACTURE DATE: 21-APR-2023. H3. 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 RECEIVED 13 SAMPLES FOR LOT # 3111753 FOR INVESTIGATION. NO SAMPLES WERE RECEIVED FOR LOT 2321329. VISUAL EXAMINATION OF THE SAMPLES INDICATED GEL AIR BUBBLES. ADDITIONALLY, 100 RETENTION SAMPLES FROM LOT 3111753 AND 88 RETENTION SAMPLES FROM LOT 2321329 WERE VISUALLY INSPECTED WITH NO ISSUES BEING IDENTIFIED. COMPLAINTS FOR SAMPLE QUALITY ARE UNDER STATISTICAL CONTROL FOR THE MONTH OF OCTOBER 2023. AT THIS TIME, FURTHER TESTING IS NOT INDICATED. 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 FOR LOT 3111753. BD WAS UNABLE TO CONFIRM GEL AIR BUBBLES FOR LOT 2321329. BD WAS NOT ABLE TO IDENTIFY A ROOT CAUSE FOR THE INDICATED FAILURE MODE. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS. BD QUALITY WILL CONTINUE TO MONITOR SAMPLE QUALITY COMPLAINTS. THE FOLLOWING FIELDS HAVE BEEN UPDATED WITH ADDITIONAL INFORMATION. D9: DEVICE AVAILABLE FOR EVALUATION: YES D9: RETURNED TO MANUFACTURER ON: 28-NOV-2023.

Description of Event or Problem · 0

IT WAS REPORTED THAT PRIOR TO USE WITH THE BD VACUTAINER® PPT¿ PLASMA PREPARATION TUBE K2E 9.0 MG, THERE WERE AIR BUBBLES IN THE GEL. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: OUR BLOOD DONATION TEAMS ARE ISOLATING EFFECTED TUBES THAT THEY IDENTIFY WITHIN THE STOCK FOUND IN THEIR STOCKS ON A DAILY BASIS AND ALTHOUGH NUMBERS ARE STILL LOW, AIR IN GEL HAS NOW BEEN SEEN IN THE FOLLOWING LOTS: 2321329, 3111753.

Description of Event or Problem · 0

IT WAS REPORTED THAT PRIOR TO USE WITH THE BD VACUTAINER® PPT¿ PLASMA PREPARATION TUBE K2E 9.0 MG, THERE WERE AIR BUBBLES IN THE GEL. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: OUR BLOOD DONATION TEAMS ARE ISOLATING EFFECTED TUBES THAT THEY IDENTIFY WITHIN THE STOCK FOUND IN THEIR STOCKS ON A DAILY BASIS AND ALTHOUGH NUMBERS ARE STILL LOW, AIR IN GEL HAS NOW BEEN SEEN IN THE FOLLOWING LOTS: 2321329, 3111753.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2226276 BD VACUTAINER® PPT¿ PLASMA PREPARATION TUBE K2E 9.0 MG BLOOD SPECIMEN COLLECTION DEVICE JKA BECTON, DICKINSON & CO. (BROKEN BOW) SEE H10 30382903627951

Patients

Seq Age Sex Outcome Treatment
1 Unknown