FDA Adverse Event Malfunction Summary report: N

BD NEEDLE PRECISIONGLIDE 16X1-1/2IN

MDR report key: 24088966 · Received January 15, 2026

Report

Report Number
3003916417-2026-00010
Event Type
Malfunction
Date Received
January 15, 2026
Date of Event
May 5, 2025
Report Date
May 4, 2026
Manufacturer
BECTON DICKINSON IND. CIRURGICAS LTDA
Product Code
FMI
UDI-DI
50000078909729
PMA / PMN Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

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

IT WAS REPORTED THAT BD EVA-SI3-SM3 NEEDLE PRECISIONGLIDE 16X1-1/2IN WAS NOTED TO HAVE DAMAGED PACKAGING. VERBATIM: BEING: NEEDLE 1.60X40MM (16GX1 1/2''), QUANTITY: 9, LOT: 4120571, NF: (B)(6), REASON: 1 UNIT WITH GELATINOUS FOREIGN BODY INSIDE THE PROTECTIVE COVER, 1 DEFORMATION IN THE BEVEL, 6 DIRTY AROUND THE PACKAGING AND INSIDE THE NEEDLE. BATCH: 2363754, QUANTITY: 12, NF: (B)(6), REASON: 1 DEFORMED OR BROKEN PLASTIC, 9 WITH DIRT ON THE NEEDLE, 2 HOLES IN THE PACKAGING. BATCH: 3264804, QUANTITY: 8, NF: (B)(6), REASON: 6 WITH DIRT ON THE NEEDLE, 2 TEARS IN THE PACKAGING. ADDITIONAL INFORMATION RECEIVED ON 01/02/2026. IT WAS MENTIONED AS "1 UNIT WITH GELATINOUS FOREIGN BODY INSIDE THE PROTECTIVE COVER, 1 DEFORMATION IN THE BEVEL, 6 DIRTY AROUND THE PACKAGING AND INSIDE THE NEEDLE (1+1+6=8)" BUT QUANTITY MENTIONED AS 9. COULD YOU PLEASE CONFIRM THE AFFECTED QUANTITY OF THE BATCH NUMBER 4120571? A: 2 HOLES OUTSIDE THE PACKAGING; 1 DEFORMED BEVEL; 6 DIRTY AREAS AROUND AND INSIDE THE PACKAGING. COULD YOU PLEASE CONFIRM THE DATE OF EVENT? A: 05/05/2025. WAS ANVISA NOTIFIED? IF YES, WHAT WAS THE NOTIFICATION NUMBER? A: NO, ONLY TO THE COMPANY. IS THE SAMPLE RELATED TO THIS INCIDENT AVAILABLE FOR ANALYSIS? IF YES PLEASE ANSWER THE BELOW QUESTIONS. A: YES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
37374 BD NEEDLE PRECISIONGLIDE 16X1-1/2IN NEEDLE, HYPODERMIC, SINGLE LUMEN FMI BECTON DICKINSON IND. CIRURGICAS LTDA 3264804 50000078909729

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other