FDA Adverse Event Malfunction Summary report: N

BD NEEDLE PRECISIONGLIDE 16X1-1/2IN

MDR report key: 24089582 · Received January 15, 2026

Report

Report Number
3003916417-2026-00014
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 CONTAINED FOREIGN MATTER. VERBATIM: BEING: NEEDLE 1.60X40MM (16GX1 1/2''), QUANTITY: (B)(4), LOT: 4120571, NF: 1144357. REASON: (B)(4) UNIT WITH GELATINOUS FOREIGN BODY INSIDE THE PROTECTIVE COVER, (B)(4) DEFORMATION IN THE BEVEL, (B)(4) DIRTY AROUND THE PACKAGING AND INSIDE THE NEEDLE. BATCH: 2363754, QUANTITY: (B)(4), NF: 1039693, REASON: (B)(4) DEFORMED OR BROKEN PLASTIC, (B)(4) WITH DIRT ON THE NEEDLE, (B)(4) HOLES IN THE PACKAGING. BATCH: 3264804, QUANTITY: (B)(4), NF: 1067682, REASON: (B)(4) WITH DIRT ON THE NEEDLE, (B)(4) 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, (B)(4) DEFORMATION IN THE BEVEL, (B)(4) DIRTY AROUND THE PACKAGING AND INSIDE THE NEEDLE (B)(4)" BUT QUANTITY MENTIONED AS (B)(4). COULD YOU PLEASE CONFIRM THE AFFECTED QUANTITY OF THE BATCH NUMBER 4120571? A: 2 HOLES OUTSIDE THE PACKAGING; (B)(4), DEFORMED BEVEL; (B)(4), 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
303660 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