FDA Adverse Event Malfunction Summary report: N

BD LUER-LOK

MDR report key: 23950392 · Received January 2, 2026

Report

Report Number
1911916-2025-00827
Event Type
Malfunction
Date Received
January 2, 2026
Date of Event
December 11, 2025
Report Date
January 9, 2026
Manufacturer
BD MEDICAL (BD WEST) MEDICAL SURGICAL
Product Code
FMF
UDI-DI
00382903096534
PMA / PMN Number
K110771
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H3: 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 FOR DEVICE EVALUATION. IT WAS REPORTED THAT WHITE PARTICULATES WERE PRESENT INSIDE SYRINGES. TO SUPPORT THE INVESTIGATION, OUR QUALITY TEAM RECEIVED TWO SAMPLES WITH OPENED BLISTER PACKAGING AND TWO PHOTOGRAPHS FOR EVALUATION. A VISUAL INSPECTION IDENTIFIED DROPLETS OF SOLUTION WITHIN THE SYRINGES; ONE SYRINGE ALSO EXHIBITED A DROPLET OF LUBRICANT ON THE RUBBER STOPPER. THE PHOTOGRAPHS CORRESPOND TO THE SAMPLES RECEIVED. THE LUBRICANT IS MEDICAL GRADE AND IS APPLIED TO THE INNER WALL OF THE SYRINGE BARREL AND TO THE RUBBER STOPPER; ITS PRESENCE IN THIS MANNER IS ACCEPTABLE. A REVIEW OF THE DEVICE HISTORY RECORD FOR MATERIAL NUMBER 309653, LOT 5232842, IDENTIFIED NO QUALITY ISSUES DURING PRODUCTION THAT COULD HAVE CONTRIBUTED TO THE REPORTED CONDITION. THERE WERE NO RELATED QUALITY NOTIFICATIONS. ALL PROCESSES AND FINAL INSPECTIONS COMPLIED WITH SPECIFICATION REQUIREMENTS. TO DATE, NO SIMILAR EVENTS HAVE BEEN REPORTED FOR THIS LOT. BASED ON THE INVESTIGATION AND ANALYSIS OF THE SAMPLES, THE CUSTOMER REPORTED CONDITION WAS CONFIRMED AND IS CONSIDERED ACCEPTABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD SYRINGE 50 ML LL TIP 1 ML CONTAINED FOREIGN MATTER. VERBATIM: WE DISCOVERED THAT A COUPLE OF OUR 50 ML SYRINGES FROM BD HAD WHITE PARTICULATES INSIDE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
3108 BD LUER-LOK PISTON SYRINGE FMF BD MEDICAL (BD WEST) MEDICAL SURGICAL 5232842 00382903096534

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other