FDA Adverse Event Malfunction Summary report: N

BD SYRINGE 3ML LL BNS

MDR report key: 23031168 · Received September 11, 2025

Report

Report Number
1213809-2025-00594
Event Type
Malfunction
Date Received
September 11, 2025
Date of Event
August 25, 2025
Report Date
October 3, 2025
Manufacturer
BECTON DICKINSON MEDICAL SYSTEMS
Product Code
FMF
UDI-DI
00382903010738
PMA / PMN Number
K980987
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
003

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

(B)(4) FOLLOW UP: A PHOTO OF A LABEL ON A CARTON BOX FOR A 3 ML LL SYRINGE (PART NUMBER 301073, BATCH 5188508) WAS RECEIVED AND EVALUATED. THE INVESTIGATION REVEALED THAT THE EXPIRATION DATE WAS INCORRECTLY PRINTED AS 2023-06-30 INSTEAD OF THE CORRECT DATE, 2030-06-30. ALTHOUGH ALL OTHER PRODUCT INFORMATION ON THE LABEL WAS ACCURATE, THE INCORRECT EXPIRATION DATE RENDERED THE LABEL NON-CONFORMING TO PRODUCT SPECIFICATIONS. THE ROOT CAUSE WAS IDENTIFIED AS A MANUAL ERROR DURING A DATE FORMAT CORRECTION, WHERE THE YEAR WAS MISTAKENLY ENTERED AND THE DISCREPANCY WENT UNDETECTED DURING LABEL VERIFICATION, RESULTING IN THE RELEASE OF THE MISLABELED PRODUCT INTO THE FIELD. IMPORTANTLY, THE CERTIFICATE OF COMPLIANCE REFLECTED THE CORRECT EXPIRATION DATE; PLEASE REFER TO IT FOR ACCURATE DATE INFORMATION. CORRECTIVE ACTIONS INCLUDED PLACING THE BATCH ON GLOBAL HOLD, ISSUING A QUALITY ALERT, AND INITIATING A CORRECTIVE AND PREVENTIVE ACTION (CAPA) INITIATION DETERMINATION (CID). ADDITIONALLY, A DEVICE HISTORY RECORD (DHR) REVIEW WAS COMPLETED FOR THE PROVIDED LOT NUMBER 5188508, WHICH SHOWED (B)(4) QUALITY NOTIFICATION RELATED TO THE COMPLAINT DEFECT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD SYRINGE 3ML LL BNS LABEL CONTENT WAS INCORRECT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: MATERIAL #301073. LOT #5188508. VERBATIM: RCC RECEIVED A COMPLAINT VIA EMAIL. WE RECEIVED ITEM 301073 FOR OUR PO#(B)(4). THE EXPIRY DATING ON THE CARTON LABELS DOES NOT MATCH THE EXPIRATION DATE ON THE C OF C FOR THIS LOT. PLEASE ADVISE WHICH ONE IS CORRECT. I AM UNSURE OF WHO I SHOULD BE REACHING OUT TO SPECIFICALLY SO I APOLOGIZE IF THIS IS NOT THE CORRECT AUDIENCE. 301073. LOT# 5188508. LABEL EXPIRY DATE: 6/30/2023. C OF C EXPIRY DATE: 6/30/2030. 06/30/2030 IS THE CORRECT EXPIRATION DATE FOR THIS PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2233026 BD SYRINGE 3ML LL BNS PISTON SYRINGE FMF BECTON DICKINSON MEDICAL SYSTEMS 5188508 00382903010738

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown