FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES

MDR report key: 22331753 · Received June 25, 2025

Report

Report Number
9617032-2025-01126
Event Type
Malfunction
Date Received
June 25, 2025
Date of Event
May 29, 2025
Report Date
July 30, 2025
Manufacturer
BECTON, DICKINSON AND COMPANY (BD)
Product Code
JKA
UDI-DI
30382903664680
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

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.

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: BD RECEIVED FOUR PHOTOS FOR INVESTIGATION. THE EVALUATION OF THE PHOTOGRAPHS DID NOT SHOWCASE ANY COLOR VARIANCES IN THE CAPS. A VISUAL EVALUATION OF 100 RETAINED SAMPLES FROM THE IMPLICATED LOT NUMBERS DID NOT INDICATE ANY VARIATION OR DEFECTS WITHIN THE PRODUCT. BASED ON A REVIEW OF THE DEVICE HISTORY RECORD FOR THE INCIDENT LOTS, ALL PRODUCT SPECIFICATIONS AND REQUIREMENTS FOR LOT RELEASE WERE MET. THIS COMPLAINT HAS NOT BEEN CONFIRMED FOR THE LOT 5023113 FOR THE INDICATED FAILURE MODE: INCORRECT COLOR. 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 THE IDENTIFICATION OF EMERGING TRENDS.

Description of Event or Problem · 0

REPORT 3 OF 3: IT WAS REPORTED WHILE USING BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES, AN UNSPECIFIED NUMBER OF TUBES HAVE A CAP COLOR THAT IS DIFFERENT/CLEARER THAN PREVIOUS BATCHES AND IS CAUSING ERRORS ON AUTOMATED INSTRUMENT. THERE WAS NO HEALTH IMPACT OR CONSEQUENCES REPORTED.

Description of Event or Problem · 0

REPORT 3 OF 3: IT WAS REPORTED WHILE USING BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES, AN UNSPECIFIED NUMBER OF TUBES HAVE A CAP COLOR THAT IS DIFFERENT/CLEARER THAN PREVIOUS BATCHES AND IS CAUSING ERRORS ON AUTOMATED INSTRUMENT. THERE WAS NO HEALTH IMPACT OR CONSEQUENCES REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1367993 BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION JKA BECTON, DICKINSON AND COMPANY (BD) 5023113 30382903664680

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown