FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES

MDR report key: 9497262 · Received December 19, 2019

Report

Report Number
9617032-2019-01500
Event Type
Malfunction
Date Received
December 19, 2019
Date of Event
September 23, 2019
Report Date
January 13, 2020
Manufacturer
BECTON, DICKINSON AND COMPANY (BD)
Product Code
JKA
UDI-DI
50382903664448
PMA / PMN Number
BK050036
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELD HAS BEEN UPDATED WITH ADDITIONAL INFORMATION: DATE OF EVENT: (B)(6) 2019.

Additional Manufacturer Narrative · 0

H.6. INVESTIGATION: BD HAD NOT RECEIVED SAMPLES OR PHOTOS FROM THE CUSTOMER FACILITY FOR EVALUATION. 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. H3 OTHER TEXT : SEE H.10.

Description of Event or Problem · 0

IT WAS REPORTED DURING BD TESTING, THE TUBES UNDER FILLED WITH A BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES. THIS OCCURRED WITH 26 SEPARATE TUBES. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: AS PART OF CAPA 54720, WE SOURCED BD VACUTAINER® SST 5.0 ML (368970), 3.5 ML (368967) AND 6.0 ML (366444) TUBES WHICH WERE STERILIZED AT NOMINAL (~22.6 KGY) AND MAXIMUM DOSE LEVELS (~32.3 KGY) FOR DRAW VOLUME TESTING. THE TESTING INDICATES BOTH NOMINAL AND MAXIMUM DOSED BD VACUTAINER® SST 5.0, 3.5 AND 6.0 ML TUBES DID NOT MEET THE PRODUCT SPECIFICATION FOR DRAW VOLUME OF -19% OF LABELLED DRAW AT BELOW MENTIONED TEST INTERVALS. IRRADIATION DOSE (KGY): NOMINAL 20.4-22.6. TEST INTERVAL (MONTHS): T=19.

Description of Event or Problem · 0

IT WAS REPORTED DURING BD TESTING, THE TUBES UNDER FILLED WITH A BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES. THIS OCCURRED WITH 26 SEPARATE TUBES. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: AS PART OF CAPA 54720, WE SOURCED BD VACUTAINER® SST 5.0 ML (368970), 3.5 ML (368967) AND 6.0 ML (366444) TUBES WHICH WERE STERILIZED AT NOMINAL (~22.6 KGY) AND MAXIMUM DOSE LEVELS (~32.3 KGY) FOR DRAW VOLUME TESTING. THE TESTING INDICATES BOTH NOMINAL AND MAXIMUM DOSED BD VACUTAINER® SST 5.0, 3.5 AND 6.0 ML TUBES DID NOT MEET THE PRODUCT SPECIFICATION FOR DRAW VOLUME OF -19% OF LABELLED DRAW AT BELOW MENTIONED TEST INTERVALS. IRRADIATION DOSE (KGY): NOMINAL 20.4-22.6 TEST INTERVAL (MONTHS): T=19.

Additional Manufacturer Narrative · 1

DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. (B)(6). A SAMPLE IS AVAILABLE FOR EVALUATION. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED DURING BD TESTING, THE TUBES UNDER FILLED WITH A BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES. THIS OCCURRED WITH 26 SEPARATE TUBES. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: AS PART OF CAPA (B)(4), WE SOURCED BD VACUTAINER® SST 5.0 ML (368970), 3.5 ML (368967) AND 6.0 ML (366444) TUBES WHICH WERE STERILIZED AT NOMINAL (~22.6 KGY) AND MAXIMUM DOSE LEVELS (~32.3 KGY) FOR DRAW VOLUME TESTING. THE TESTING INDICATES BOTH NOMINAL AND MAXIMUM DOSED BD VACUTAINER® SST 5.0, 3.5 AND 6.0 ML TUBES DID NOT MEET THE PRODUCT SPECIFICATION FOR DRAW VOLUME OF -19% OF LABELLED DRAW AT BELOW MENTIONED TEST INTERVALS. IRRADIATION DOSE (KGY): NOMINAL 20.4-22.6 TEST INTERVAL (MONTHS): T=19.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1294784 BD VACUTAINER® SST¿ II ADVANCE PLUS BLOOD COLLECTION TUBES BLOOD SPECIMEN COLLECTION DEVICE JKA BECTON, DICKINSON AND COMPANY (BD) 366444 8036515 50382903664448

Patients

Seq Age Sex Outcome Treatment
1 Other