FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® SST¿

MDR report key: 23720831 · Received December 4, 2025

Report

Report Number
1024879-2025-01975
Event Type
Malfunction
Date Received
December 4, 2025
Date of Event
November 7, 2025
Report Date
February 20, 2026
Manufacturer
BECTON DICKINSON & CO (FRANKLIN LAKES)
Product Code
JKA
UDI-DI
30382903679868
PMA / PMN Number
BK050036
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: BD RECEIVED 10 SAMPLES AND ONE PHOTO FOR INVESTIGATION. IN THE PHOTO, MULTIPLE TUBES EXHIBIT POOR BARRIER SEPARATION. A TOTAL OF 10 RETURNED SAMPLES WERE VISUALLY INSPECTED FOR GEL DEFECTS AND ADDITIVE ABNORMALITY, WITH NO FAILURES OBSERVED FOR EITHER. COMPLAINTS FOR SAMPLE QUALITY ARE UNDER STATISTICAL CONTROL FOR THE MONTH OF NOVEMBER 2025. 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. THIS COMPLAINT HAS BEEN CONFIRMED FOR THE INDICATED FAILURE MODE: POOR BARRIER SEPARATION BASED ON THE PHOTO PROVIDED. NO DEFINITIVE ROOT CAUSE COULD BE ESTABLISHED FOR THE REPORTED DEFECT. 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. BD QUALITY WILL CONTINUE TO MONITOR SAMPLE QUALITY COMPLAINTS. CUSTOMER RECOMMENDATIONS: SST¿ TUBES SHOULD BE FILLED TO STATED DRAW VOLUME AND MIXED BY 5 COMPLETE INVERSIONS. MIXING FACILITATES DISPERSION OF THE SILICA INTO THE BLOOD, ASSISTING THE CLOTTING PROCESS. THE RECOMMENDED 30-MINUTE MINIMUM CLOTTING TIME FOR THE BD SST¿ TUBE IS BASED UPON AN INTACT CLOTTING PROCESS. INSUFFICIENT CLOTTING (SHORT CLOTTING) CAN RESULT IN THE FORMATION OF FIBRIN. THIS FIBRIN FORMATION MAY INTERFERE WITH BARRIER FORMATION. COMPLETE AND ADEQUATE BARRIER FORMATION IS TIME, TEMPERATURE AND G-FORCE DEPENDENT. POST CENTRIFUGATION: THE SPECIMEN IN THE ORIGINAL TUBE SHOULD BE CENTRIFUGED ONCE. TUBES SHOULD NOT BE RE-CENTRIFUGED ONCE THE BARRIER IS FORMED. A POTENTIAL FOR INACCURATE TEST RESULTS IS POSSIBLE. ANALYTES FROM CELLULAR LEAKAGE/EXCHANGE, ACCENTUATED BY CLOT RETRACTION, WILL THEN BE CENTRIFUGED INTO THE SERUM BEING USED FOR TESTING. IF RE-CENTRIFUGATION IS REQUIRED FOR IMPROVED SERUM QUALITY, THEN ASPIRATE SERUM INTO A PROPERLY LABELED CLEAN TUBE. A REVIEW OF SPECIMEN HANDLING PARAMETERS SHOULD BE REVIEWED FOR THIS TUBE TYPE

Additional Manufacturer Narrative · 0

THERE WERE MULTIPLE 510K NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION IS AS FOLLOWS: G.4. PMA / 510(K)#: K230855 A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING AN INTERNAL BD VALIDATION STUDY OF BD VACUTAINER® SST¿, RED BLOOD CELLS SEEPED THROUGH THE BARRIER OF FOUR TUBES. SAMPLES WERE RECOLLECTED. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR USER.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING AN INTERNAL BD VALIDATION STUDY OF BD VACUTAINER® SST¿, RED BLOOD CELLS SEEPED THROUGH THE BARRIER OF FOUR TUBES. SAMPLES WERE RECOLLECTED. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
455507 BD VACUTAINER® SST¿ TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION JKA BECTON DICKINSON & CO (FRANKLIN LAKES) 5251520 30382903679868

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown