BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BECTON, DICKINSON AND COMPANY

    MDR report key: 18562406 · Received January 23, 2024

    Report

    Report Number
    18562406
    Event Type
    Malfunction
    Date Received
    January 23, 2024
    Date of Event
    January 9, 2024
    Report Date
    January 11, 2024
    Manufacturer
    BECTON, DICKINSON AND COMPANY
    Product Code
    JKA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OH
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    BD VACUTAINER, GREEN TOP, DID NOT FILL WITH BLOOD. TWO ADDITIONAL GREEN TOPS USED AND WOULD NOT FILL. THE 4TH GREEN TOP FILLED WITH BLOOD AND PROCEEDING VACUTAINERS FILLED WITHOUT DIFFICULTY. NO KNOWN HARM TO PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    839434 BECTON, DICKINSON AND COMPANY TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION JKA BECTON, DICKINSON AND COMPANY 367884 3257745

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown