BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD SYRINGE 10ML LL BNS

    MDR report key: 22649913 · Received July 29, 2025

    Report

    Report Number
    9614033-2025-00078
    Event Type
    Malfunction
    Date Received
    July 29, 2025
    Date of Event
    June 13, 2025
    Report Date
    September 16, 2025
    Manufacturer
    BECTON DICKINSON DE MEXICO
    Product Code
    FMF
    PMA / PMN Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    H.3. IF A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS COMPLETED, A SUPPLEMENTAL REPORT WILL BE FILED.

    Additional Manufacturer Narrative · 0

    SINCE NO SAMPLES DISPLAYING THE CONDITION REPORTED ARE AVAILABLE FOR EXAMINATION, WE WERE UNABLE TO FULLY INVESTIGATE THIS INCIDENT, THEREFORE A ROOT CAUSE COULD NOT BE DETERMINED. FURTHERMORE, A DEVICE HISTORY RECORD REVIEW SHOWED NO REJECTED INSPECTIONS OR QUALITY ISSUES DURING THE PRODUCTION OF THE PROVIDED LOT NUMBER THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT THE BD SYRINGE 10ML LL BNS HAD LEAKAGE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: MATERIAL#: 304657 , BATCH#: 4233722. VERBATIM: RCC RECEIVED A COMPLAINT VIA EMAIL. XXX COMPLAINT #: (B)(4). DEFECT DESCRIPTION: SYRINGE LEAKING. XXX PART #: 153239. PRODUCT DESCRIPTION: SYRINGE 10ML LL BNS. VENDOR PART #: 304657. LOT #: 4233722. DATE REPORTED: 6/16/2025. SAMPLE RECEIVED: NO/ RESPONSE NEEDED: SUMMARY OF FINDINGS AND CORRECTIVE ACTION -- INCIDENT REPORTED TO THE FDA AS MDR-30 DAY. REFERENCE NO. 1423395-2025-00070. ADDITIONAL INFO: 1. ANY ADVERSE EVENT OR SERIOUS INJURY REPORTED TO PATIENT OR HEALTHCARE PROFESSIONAL? IF YES, PLEASE PROVIDE THE DETAILS. NO PATIENT INVOLVEMENT. 2. CAN YOU PLEASE PROVIDE AN EXACT DATE OF EVENT? 06-13-2025. 3. TOTAL NUMBER OF OCCURRENCES? 2 EA.

    Description of Event or Problem · 0

    NO ADDITIONAL INFORMATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1383417 BD SYRINGE 10ML LL BNS PISTON SYRINGE FMF BECTON DICKINSON DE MEXICO 4233722

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown