BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD BBL¿ SENSI-DISC¿ COLISTIN - 10 ¿G

    MDR report key: 22920393 · Received August 29, 2025

    Report

    Report Number
    2647876-2025-00432
    Event Type
    Malfunction
    Date Received
    August 29, 2025
    Date of Event
    July 13, 2023
    Report Date
    July 2, 2025
    Manufacturer
    BECTON DICKINSON CARIBE LTD.
    Product Code
    JTN
    UDI-DI
    30382902312780
    PMA / PMN Number
    PREAMENDMENT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    RP
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    INVESTIGATION SUMMARY A COMPLAINT INVESTIGATION DUE TO INCORRECT LABEL FOR COLISTIN CATALOG 231278 BATCH NO.: 8426744 WAS PERFORMED ON RETENTION SAMPLES. THE INVESTIGATION REQUIRED TO PERFORM VISUAL INSPECTION, BATCH RECORD REVIEW AND CUSTOMER PHOTO EVALUATION. NO DISCREPANCIES OBSERVED DURING RETENTION SAMPLES VISUAL INSPECTION. PHOTO RECEIVED FROM CUSTOMER WAS EVALUATED. IT WAS OBSERVED THAT PRODUCT WAS IDENTIFIED CORRECTLY. SINGLE CARTRIDGE IS IDENTIFIED WITH CATALOG 230749 WHILE PRODUCT PACKAGE (TEN PACK) IS IDENTIFIED WITH CATALOG 231278. CATALOGS 230749 AND 231278 ARE CORRECT FOR COLISTIN PRODUCT. BATCH RECORD REVIEW DID NOT SHOW ANY EVIDENCE OF CUSTOMER CLAIM. NO CORRECTIVE ACTION IS REQUIRED BASED ON INFORMATION EVALUATED AND SATISFACTORY RESULTS OBTAINED DURING THE QC TEST. COMPLAINT IS NOT CONFIRMED. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. INFORMATION WILL BE CAPTURED ON TREND REPORTS AND MONITORED. THIS MDR IS BEING SUBMITTED AS PART OF A RETROSPECTIVE REVIEW OF RECORDS DATING APRIL 2023-2025, UNDER CAPA 11910483.

    Description of Event or Problem · 0

    IT WAS REPORTED PRIOR TO USING BD BBL¿ SENSI-DISC¿ COLISTIN - 10 G, THE BOX CONTAINED A DIFFERENT PRODUCT THAN WAS INDICATED BY THE LABEL. THERE WAS NO REPORT OF PATIENT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2163095 BD BBL¿ SENSI-DISC¿ COLISTIN - 10 ¿G SUSCEPTIBILITY TEST DISCS, ANTIMICROBIAL JTN BECTON DICKINSON CARIBE LTD. 2210171 30382902312780

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown