FDA Adverse Event Injury Summary report: N

BD NEEDLE FILTER 19X1-1/2 TW

MDR report key: 23839876 · Received December 18, 2025

Report

Report Number
1911916-2025-00811
Event Type
Injury
Date Received
December 18, 2025
Date of Event
November 19, 2025
Report Date
January 11, 2026
Manufacturer
BD MEDICAL (BD WEST) MEDICAL SURGICAL
Product Code
GAA
UDI-DI
00382903052004
PMA / PMN Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: (B) ADDED EVENT DETAILS. INVESTIGATION RESULTS: BASED ON THE INVESTIGATION AND WITH NO SAMPLE ANALYSIS THE SYMPTOM REPORTED BY THE CUSTOMER COULD NOT BE CONFIRMED. WE WILL CONTINUE MONITORING THE COMPLAINT TREND FOR THE PRODUCT AND SYMPTOM. WITH NO ACTUAL SAMPLE ANALYSIS, A PROBABLE ROOT CAUSE COULD NOT BE OFFERED.

Description of Event or Problem · 0

THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: MATERIAL: 305200. BATCH #: 2172517. VERBATIM: RCC RECEIVED A COMPLAINT VIA EMAIL. EMAIL(S) ATTACHED. ADVERSE EVENT, ENDOPHTHALMITIS. PATIENT EXPERIENCED AN ADVERSE EVENT POST INJECTION. NEEDLE LOT 2172517. NO DEVICE FAILURE NOTED.

Description of Event or Problem · 0

ADDITIONAL INFORMATION: PER THE DSO (DRUG SAFETY OFFICER), THE PHYSICIAN REPORTED THAT PATIENTS WERE TREATED WITH STEROIDS AND SOME HE TREATED WITH ANTIBIOTICS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2385809 BD NEEDLE FILTER 19X1-1/2 TW NEEDLE, ASPIRATION AND INJECTION, DISPOSABLE GAA BD MEDICAL (BD WEST) MEDICAL SURGICAL 2172517 00382903052004

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other