BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD PORT-A-CUL

    MDR report key: 2675686 · Received July 24, 2012

    Report

    Report Number
    MW5026281
    Event Type
    Malfunction
    Date Received
    July 24, 2012
    Date of Event
    May 30, 2012
    Report Date
    July 24, 2012
    Manufacturer
    BECTON DICKINSON AND COMPANY
    Product Code
    JTX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PT WAS IN FOR SURGERY FOR RIGHT SHOULDER FRACTURE. GRAM STAIN OF 2 SURGICAL SPECIMENS SHOWED RARE GRAM NEGATIVE RODS. ONE CULTURE GREW (B)(6) AND THE OTHER WAS NEGATIVE. PT WAS TREATED FOR (B)(6) RATHER THAN GRAM NEGATIVE RODS AS PT HAD A PROSTHETIC DEVICE. DATE OF USE: SINCE BEFORE 1980.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD PORT-A-CUL ANAEROHIC SPECIMEN COLLECTION AND TRANSPORT JTX BECTON DICKINSON AND COMPANY 1332996

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR