BD SAFETYGLIDE SYRINGE
Report
- Report Number
- 2243072-2025-01090
- Event Type
- Malfunction
- Date Received
- September 4, 2025
- Date of Event
- August 14, 2025
- Report Date
- January 12, 2026
- Manufacturer
- EMBECTA MEDICAL I LLC
- Product Code
- FMF
- UDI-DI
- 00382903033270
- PMA / PMN Number
- K951254
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
B.3. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. H.3. IF A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS COMPLETED, A SUPPLEMENTAL REPORT WILL BE FILED.
INVESTIGATION SUMMARY: 97 UNUSED NEEDLES WITH SYRINGE (MATERIAL# 303327 BATCH # 3100484F) WERE RECEIVED AND ANALYZED BY OUR QUALITY TEAM WITH THE CUSTOMER'S COMPLAINT OF LEAKAGE DURING USE. THE UNUSED SAMPLES WERE TESTED BY DRAWING SALINE SOLUTION AND INJECTING IT WITH RESISTANCE AND THERE WERE NO LEAKS IN ANY OF THE 97 SAMPLES. THE SAMPLES WERE THEN ANALYZED UNDER HIGH POWER MICROSCOPE TO SEARCH FOR ABNORMALITIES AND NO SYRINGES PRESENTED WITH ISSUES. THE COMPLAINT COULD NOT BE VERIFIED AND THE ROOT CAUSE REMAINS UNKNOWN WITHOUT THE ORIGINAL AFFECTED SAMPLES.
(B)(4) FOLLOW UP REPORT FOR CORRECTION. LOT NUMBER WAS INCORRECT IN THE INITIAL MDR, CORRECT LOT NUMBER IS 3100484.
IT WAS REPORTED THAT THE BD SYRINGE SAFETYGLIDE 1ML W/NDL 27X3/8 IB HAD LEAKAGE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: MATERIAL # 303327, BATCH # 100484F1. VERBATIM: RCC RECEIVED A COMPLAINT VIA EMAIL. ITEM DESCRIPTION: SAFETYGLIDE TB SYR-NEEDLE, VNDR ITEM#: 303327, LOT#: 100484F1, QUANTITY: 1, UOM: 100/BX, CMT: LEAKING, ADTL.CMTS: EXP - 04/30/28.
SAMPLES.
NO ADDITIONAL INFORMATION WAS PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1852035 | BD SAFETYGLIDE SYRINGE | SYRINGE, PISTON | FMF | EMBECTA MEDICAL I LLC | 3100484 | 00382903033270 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |