FDA Adverse Event Malfunction Summary report: N

BD SAFETYGLIDE

MDR report key: 23797868 · Received December 13, 2025

Report

Report Number
1213809-2025-00768
Event Type
Malfunction
Date Received
December 13, 2025
Date of Event
October 23, 2025
Report Date
January 14, 2026
Manufacturer
BECTON DICKINSON MEDICAL SYSTEMS
Product Code
FMI
UDI-DI
00382903059164
PMA / PMN Number
K951254
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION RESULTS: SINCE NO SAMPLES DISPLAYING THE REPORTED CONDITION WERE RECEIVED, A POTENTIAL ROOT CAUSE COULD NOT BE DEFINED, AND CORRECTIVE ACTIONS ARE NOT NECESSARY. A PHYSICAL SAMPLE IS REQUIRED FOR A MORE THOROUGH EVALUATION AND POTENTIAL ROOT CAUSE DETERMINATION. THE COMPLAINT WAS NOT CONFIRMED, AND NO CAPA EVALUATION WAS REQUIRED. THIS COMPLAINT TYPE WILL CONTINUE TO BE TRENDED WITHIN THE POST-MARKET SURVEILLANCE PROCESS, AND ANY DETERMINED ESCALATION WILL BE MANAGED THERE.

Additional Manufacturer Narrative · 0

H.3. IF A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS COMPLETED, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD NEEDLE SFTYGLD 25X1 RB HAD A SYRINGE NEEDLE CONNECTIVITY ISSUE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: MATERIAL#: 305916 BATCH#: 5022041 VERBATIM: RCC RECEIVED A COMPLAINT VIA EMAIL. EMAIL(S) ATTACHED AFTER VACCINE WAS ADMINISTERED, THEN NEEDLE OF THE SYRINGE DETACHED FROM THE SYRINGE AND STAYED IN THE PATIENTS ARM AFTER THE SYRINGE WAS REMOVED. THE NEEDLE ITSELF WAS THEN SAFELY REMOVE FROM THE PATIENT'S ARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2710104 BD SAFETYGLIDE NEEDLE, HYPODERMIC, SINGLE LUMEN FMI BECTON DICKINSON MEDICAL SYSTEMS 5022041 00382903059164

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown