FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER TUBE PST GEL AND LIHE 83 UNITS

MDR report key: 7717888 · Received July 24, 2018

Report

Report Number
MW5078579
Event Type
Malfunction
Date Received
July 24, 2018
Date of Event
July 5, 2018
Report Date
July 19, 2018
Manufacturer
BD
Product Code
JKA
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
KS, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

WE STARTED USING THE BD LITHIUM HEPARIN TUBES (367962, LOT # 8061753 ON (B)(6) 2018 AND CONTINUED UNTIL (B)(6) 2018) WHEN WE IDENTIFIED THIS PROBLEM. THE BD LITHIUM HEPARIN SEPARATOR TUBES HAVE A POSITIVE BIAS FOR AST OF APPROX 50%. SODIUM'S AND CALCIUM ALSO COULD HAVE A PROBLEM OF SLIGHT POSITIVE BIAS. WHILE ONLY ONE PATIENT IS LISTED ABOVE, WE WILL BE RE-DRAWING BLOOD AND REPEATING TESTS FOR APPROX 205 PATIENTS. AN UNK NUMBER OF PATIENTS RECEIVED ADDITIONAL TESTING (LAB AND IMAGING) AS A RESULT OF THEIR ABNORMAL RESULTS. SEVERAL PHYSICIANS QUESTIONED RESULTS OF PATIENT THAT HAD ROUTINE/PREVIOUS TESTING WHICH INITIATED OUR INVESTIGATION. AFTER DETERMINING THE VACUTAINER TUBE COULD BE THE CAUSE, WE REMOVED THIS PRODUCT WHICH ALL HAD THE SAME LOT NUMBER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
558222 BD VACUTAINER TUBE PST GEL AND LIHE 83 UNITS TUBES, VIALS, SYSTEMS, SERUM SEPARATOR JKA BD 8061753

Patients

Seq Age Sex Outcome Treatment
1 63 YR Other