FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE

MDR report key: 23708347 · Received December 3, 2025

Report

Report Number
1024879-2025-01949
Event Type
Malfunction
Date Received
December 3, 2025
Date of Event
October 31, 2025
Report Date
March 19, 2026
Manufacturer
BECTON DICKINSON & CO (FRANKLIN LAKES)
Product Code
FMI
UDI-DI
30382903686088
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

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION D2A. MEDICAL DEVICE TYPE JKA. D2B. COMMON DEVICE NAME TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION. G.4. PMA / 510(K)# K243207. INVESTIGATION SUMMARY BD RECEIVED ONE PHOTO FOR INVESTIGATION, WHICH WAS OF A NON-PATIENT SHIELD. NO PHOTOS OF THE DEFECT WERE PROVIDED. 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: HUB/COLLAR SEPARATION. 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.

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.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHEN USING THE BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE, HUB/COLLAR SEPARATION OCCURRED, REQUIRING RECOLLECTION. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR USER.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHEN USING THE BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE, HUB/COLLAR SEPARATION OCCURRED, REQUIRING RECOLLECTION. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
348141 BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE HYPODERMIC SINGLE LUMEN NEEDLE FMI BECTON DICKINSON & CO (FRANKLIN LAKES) 5021758 30382903686088

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown