FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® SST¿ II ADVANCE

MDR report key: 23583239 · Received November 18, 2025

Report

Report Number
9617032-2025-02031
Event Type
Malfunction
Date Received
November 18, 2025
Date of Event
October 23, 2025
Report Date
March 12, 2026
Manufacturer
BECTON, DICKINSON AND COMPANY (BD)
Product Code
JKA
PMA / PMN Number
BK050036
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
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 7 PHOTOS FOR INVESTIGATION WHICH INDICATED FAILURE MODE: GEL SMEARING, POOR BARRIER SEPARATION, AND RED CELL HANG UP. A TOTAL OF 100 RETAINED SAMPLES FROM LOT NUMBER 5023120 WAS VISUALLY INSPECTED, AND NO GEL OR ADDITIVE ABNORMALITY WAS FOUND. BASED ON A REVIEW OF THE DEVICE HISTORY RECORD FOR THE INCIDENT LOTS, ALL PRODUCT SPECIFICATIONS AND REQUIREMENTS FOR LOT RELEASE WERE MET. COMPLAINTS FOR SAMPLE QUALITY WERE NOT UNDER STATISTICAL CONTROL FOR THE MONTH OF OCTOBER 2025; ADDITIONAL TESTING WAS PERFORMED. FACTORS THAT MAY CONTRIBUTE TO FAILURE MODE (POOR BARRIER SEPARATION, GEL SMEARING, RED CELL HANGUP) WERE EVALUATED THROUGH A CLINICAL STUDY TO VERIFY THE DESIGN OF THE DEVICE MET IT¿S INTENDED USE. BD WAS UNABLE TO DUPLICATE THE CUSTOMER'S INDICATED FAILURE MODE, POOR BARRIER SEPARATION, GEL SMEARING, RED CELL HANGUP, VIA CLINICAL INVESTIGATION BECAUSE THE DEFECT WAS NOT EVIDENT IN THE TESTING OF THE COMPLAINT LOT SAMPLES. ALL VISUAL OBSERVATIONS OF BOTH RETAIN AND CONTROL SAMPLES DEMONSTRATED CLINICALLY ACCEPTABLE PERFORMANCE. THIS COMPLAINT HAS BEEN CONFIRMED FOR THE LOT # 5023120, FOR THE INDICATED FAILURE MODE: POOR BARRIER SEPARATION, GEL SMEARING, RED CELL HANGUP BASED ON PROVIDED PHOTOS. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR THE IDENTIFICATION OF EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED WHEN USING THE BD VACUTAINER® SST¿ II ADVANCE THERE WAS POOR GEL BARRIER SEPARATION OF A SAMPLE, GEL ADHERING TO THE INSIDE TUBE WALL, AND RED BLOOD CELLS ADHERING TO THE INSIDE OF THE TUBE WALL IN 10 DEVICES. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR USER.

Description of Event or Problem · 0

IT WAS REPORTED WHEN USING THE BD VACUTAINER® SST¿ II ADVANCE THERE WAS POOR GEL BARRIER SEPARATION OF A SAMPLE, GEL ADHERING TO THE INSIDE TUBE WALL, AND RED BLOOD CELLS ADHERING TO THE INSIDE OF THE TUBE WALL IN 10 DEVICES. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR US

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
237231 BD VACUTAINER® SST¿ II ADVANCE EVACUATED BLOOD COLLECTION TUBE IVD, CLOT ACTIVATOR/SEPARATOR JKA BECTON, DICKINSON AND COMPANY (BD) 5023120

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown