FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® CPT¿ CELL PREPARATION TUBE WITH SODIUM HEPARIN

MDR report key: 8552896 · Received April 25, 2019

Report

Report Number
1917413-2019-01389
Event Type
Malfunction
Date Received
April 25, 2019
Date of Event
April 6, 2019
Report Date
May 21, 2019
Manufacturer
BECTON, DICKINSON & CO. (BROKEN BOW)
Product Code
JKA
UDI-DI
50382903627535
PMA / PMN Number
K891407
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: BD HAD NOT RECEIVED SAMPLES OR PHOTOS FROM THE CUSTOMER FACILITY FOR EVALUATION; THEREFORE, THE INVESTIGATION WAS LIMITED. A REVIEW OF THE DEVICE HISTORY RECORD WAS COMPLETED FOR THE INCIDENT LOT AND, BASED ON THIS REVIEW, ALL PRODUCT SPECIFICATIONS AND REQUIREMENTS FOR LOT RELEASE WERE MET; THERE WERE NO RELATED QUALITY NON-CONFORMANCES DURING MANUFACTURING OF THE PRODUCT. BD HAS INITIATED FURTHER INVESTIGATION RELATING TO THIS ISSUE THROUGH CAPA#373360. THE INVESTIGATION IS STILL ON-GOING AND IMPROVEMENTS WILL BE MADE AS THE POTENTIAL CAUSES OF THIS ISSUE ARE IDENTIFIED. INVESTIGATION CONCLUSION: AS NO SAMPLES OR PHOTOS WERE RECEIVED FOR EVALUATION, THE CUSTOMER'S INDICATED FAILURE MODE WAS NOT OBSERVED BY BD. HOWEVER, FURTHER INVESTIGATION HAS BEEN INITIATED THROUGH CAPA#373360. THE INVESTIGATION IS STILL ON-GOING AND IMPROVEMENTS WILL BE MADE AS THE POTENTIAL CAUSES ARE IDENTIFIED. ROOT CAUSE DESCRIPTION: ALTHOUGH NO SAMPLES OR PHOTOS WERE AVAILABLE FOR EVALUATION, BD HAS INITIATED FURTHER INVESTIGATION THROUGH CAPA#373360 TO IDENTIFY THE POTENTIAL ROOT CAUSE(S). RATIONALE: BASED ON AN ASSESSMENT OF SEVERITY AND FREQUENCY, IT WAS DETERMINED THAT A CAPA IS REQUIRED AT THIS TIME IN ORDER TO DETERMINE THE ROOT CAUSE ASSOCIATED WITH THIS ISSUE AND IMPLEMENT CORRECTIVE ACTIONS. THE INVESTIGATION IS CURRENTLY ON-GOING AND FURTHER IMPROVEMENTS WILL BE MADE AS THE POTENTIAL ROOT CAUSE(S) ARE IDENTIFIED.

Description of Event or Problem · 0

MATERIAL NO: 362753, BATCH NO: 8243894. IT WAS REPORTED THAT DURING USE OF THE BD VACUTAINER® CPT¿ CELL PREPARATION TUBE WITH SODIUM HEPARIN THE CPT'S GRANULOCYTE CONTAMINATION RATE ROSE TO 50-55% COMPARED TO 15%. CUSTOMER IS ALSO EXPERIENCING HIGH LEVEL OF RBC IN THE TUBES. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: IN THESE DAYS, AS I PREVIOUSLY MENTIONED, I USED CPT TUBES FOR PBMNC ISOLATION IN SEPTIC PATIENTS. I COMPARED THE OBTAINED DATA WITH SAMPLES ANALYZED FROM HEALTHY VOLUNTEERS. GRANULOCYTE CONTAMINATION RATE RISE TO 50-55% COMPARED TO 15%. I AM FACING ALSO A HIGH LEVEL OF RBC IN THE TUBES.

Additional Manufacturer Narrative · 1

DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD DEVICE EVALUATED BY MFR: A DEVICE EVALUATION IS ANTICIPATED, BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION AND/OR DEVICE HISTORY REVIEW, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 1

MATERIAL NO: 362753, BATCH NO: 8243894. IT WAS REPORTED THAT DURING USE OF THE BD VACUTAINER® CPT¿ CELL PREPARATION TUBE WITH SODIUM HEPARIN THE CPT'S GRANULOCYTE CONTAMINATION RATE ROSE TO 50-55% COMPARED TO 15%. CUSTOMER IS ALSO EXPERIENCING HIGH LEVEL OF RBC IN THE TUBES. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: IN THESE DAYS, AS I PREVIOUSLY MENTIONED, I USED CPT TUBES FOR PBMNC ISOLATION IN SEPTIC PATIENTS. I COMPARED THE OBTAINED DATA WITH SAMPLES ANALYZED FROM HEALTHY VOLUNTEERS. GRANULOCYTE CONTAMINATION RATE RISE TO 50-55% COMPARED TO 15%. I AM FACING ALSO A HIGH LEVEL OF RBC IN THE TUBES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
343442 BD VACUTAINER® CPT¿ CELL PREPARATION TUBE WITH SODIUM HEPARIN BLOOD SPECIMEN COLLECTION DEVICE; JKA BECTON, DICKINSON & CO. (BROKEN BOW) 8243894 50382903627535

Patients

Seq Age Sex Outcome Treatment
1 Other