BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BBL VACUTAINER BRAND

    MDR report key: 509213 · Received January 27, 2004

    Report

    Report Number
    MW1030941
    Event Type
    Malfunction
    Date Received
    January 27, 2004
    Date of Event
    January 5, 2004
    Report Date
    January 27, 2004
    Manufacturer
    BECTON DICKINSON MICROBIOLOGY SYSTEMS
    Product Code
    JSC
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CULTURE TUBE "USED" IN ABDOMEN. WHEN THE CULTURE TUBE WAS REMOVED FROM ABDOMEN THERE WAS NO COTTON TIP ON IT. ABDOMEN WAS SEARCHED, NO COTTON TIP WAS FOUND. HOWEVER; NOBODY NOTICED IF THERE WAS A TIP WHEN THE PACKAGE WAS ORIGINALLY OPENED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BBL VACUTAINER BRAND ANAEROBIC SPECIMEN COLLECTOR JSC BECTON DICKINSON MICROBIOLOGY SYSTEMS 236500 2353802

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other