BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BBL VACUTAINER

    MDR report key: 2862304 · Received December 3, 2012

    Report

    Report Number
    2862304
    Event Type
    Malfunction
    Date Received
    December 3, 2012
    Date of Event
    November 30, 2012
    Report Date
    December 3, 2012
    Manufacturer
    BECTON DICKINSON
    Product Code
    JTX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THREE OF THE ANAEROBIC SPECIMEN TUBES BROKE DURING NORMAL USE. ALSO, IT APPEARED THERE WAS MOISTURE INSIDE THE TUBES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BBL VACUTAINER TRANSPORT SYSTEMS, ANAEROBIC JTX BECTON DICKINSON * 2061411
    2 BBL VACUTAINER TRANSPORT SYSTEMS, ANAEROBIC JTX BECTON DICKINSON * 2146020
    3 BBL VACUTAINER TRANSPORT SYSTEMS, ANAEROBIC JTX BECTON DICKINSON * 1242294

    Patients

    Seq Age Sex Outcome Treatment
    1 *