FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE

MDR report key: 23574843 · Received November 17, 2025

Report

Report Number
1024879-2025-01820
Event Type
Malfunction
Date Received
November 17, 2025
Date of Event
October 22, 2025
Report Date
March 27, 2026
Manufacturer
BECTON, DICKINSON & CO., (BD)
Product Code
FMI
UDI-DI
30382903686071
PMA / PMN Number
K982541
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: G.4. PMA / 510(K)#: K243207. INVESTIGATION SUMMARY: BD DID NOT RECEIVE ANY SAMPLES OR PHOTOS FOR INVESTIGATION. THEREFORE, A TOTAL OF 40 RETAINED SAMPLES WERE SUBJECTED TO A VISUAL FUNCTIONAL TEST FOR DEFECTIVE LOCKING MECHANISM AND HUB/COLLAR SEPARATION. THE SAMPLES PASSED TESTING, AS THERE WERE NO SIGNS OF DAMAGED OR BROKEN COLLARS OR SEPARATION DURING ACTIVATION OF THE SAFETY SHIELD. BASED ON A REVIEW OF THE DEVICE HISTORY RECORD FOR THE INCIDENT LOT, ALL PRODUCT SPECIFICATIONS AND REQUIREMENTS FOR LOT RELEASE WERE MET. THIS COMPLAINT HAS NOT BEEN CONFIRMED FOR THE INDICATED FAILURE MODE: DEFECTIVE LOCKING MECHANISM. NO DEFINITIVE ROOT CAUSE COULD BE ESTABLISHED FOR THE REPORTED DEFECT. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR THE IDENTIFICATION OF EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT BEFORE USING ONE (1) BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE, THE SAFETY MECHANISM SEPARATED FROM THE UNIT. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR USER.

Description of Event or Problem · 0

IT WAS REPORTED THAT BEFORE USING ONE (1) BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE, THE SAFETY MECHANISM SEPARATED FROM THE UNIT. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
362833 BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE HYPODERMIC SINGLE LUMEN NEEDLE FMI BECTON, DICKINSON & CO., (BD) 5134077 30382903686071

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown