FDA Adverse Event Malfunction Summary report: N

BD SAFETYGLIDE SYRINGE

MDR report key: 22967612 · Received September 4, 2025

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

Additional Manufacturer Narrative · 0

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.

Additional Manufacturer Narrative · 0

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.

Additional Manufacturer Narrative · 0

(B)(4) FOLLOW UP REPORT FOR CORRECTION. LOT NUMBER WAS INCORRECT IN THE INITIAL MDR, CORRECT LOT NUMBER IS 3100484.

Description of Event or Problem · 0

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.

Description of Event or Problem · 0

SAMPLES.

Description of Event or Problem · 0

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