FDA Adverse Event Malfunction Summary report: N

SYRINGE 10ML SALINE FILL CHINA SP

MDR report key: 24293042 · Received February 9, 2026

Report

Report Number
1911916-2026-00061
Event Type
Malfunction
Date Received
February 9, 2026
Date of Event
February 1, 2026
Report Date
February 20, 2026
Manufacturer
BD MEDICAL (BD WEST) MEDICAL SURGICAL
Product Code
NGT
UDI-DI
00382903065950
PMA / PMN Number
K161552
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H.3. A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

CORRECTION: BATCH NUMBER UNKNOWN. SEE B TAB. (B)(4) FOLLOW UP. IT WAS REPORTED THAT THE PLUNGER ASSEMBLY FRACTURED. TO SUPPORT THE INVESTIGATION, A SINGLE PHOTOGRAPH WAS RECEIVED AND EVALUATED BY THE QUALITY TEAM. THE PHOTOGRAPH DEPICTS AN EMPTY SYRINGE WITHOUT PACKAGING FLOW WRAP OR A TIP CAP. THE SYRINGE BARREL FLANGE IS DAMAGED, AND NO OTHER DEFECTS OR IMPERFECTIONS ARE EVIDENT. THIS CONDITION COULD OCCUR IF THE INFEED SCROLL WERE MISALIGNED DURING THE PLUNGER ROD ASSEMBLY PROCESS. A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR MATERIAL NUMBER 306595, COVERING POSSIBLE LOTS 5140925 AND 5070175. THE REVIEW DID NOT IDENTIFY ANY QUALITY ISSUES DURING THE PRODUCTION OF THESE LOTS THAT COULD HAVE CONTRIBUTED TO THE REPORTED CONDITION, AND THERE WERE NO RELATED QUALITY NOTIFICATIONS. ALL PROCESSES AND FINAL INSPECTIONS COMPLIED WITH SPECIFICATION REQUIREMENTS. VERIFICATION OF THE SYRINGE PLUNGER ROD ASSEMBLY PROCESS WAS PERFORMED, THE INFEED SCROLL SETTINGS AND ALIGNMENT WERE CORRECT, AND PRODUCT FLOW WAS ACCEPTABLE. BASED ON THE INVESTIGATION AND THE PHOTO ANALYSIS, THE CUSTOMER REPORTED CONDITION IS CONFIRMED.

Description of Event or Problem · 0

ON (B)(6) 2026, A PATIENT WITH INTESTINAL TUMOR RECEIVED A NUTRITIONAL INFUSION AS PRESCRIBED. AFTER THE INFUSION CONCLUDED, WHILE USING A PREFILLED SYRINGE TO FLUSH THE CATHETER AND CLOSE IT, THE PLUNGER ASSEMBLY FRACTURED. THE NURSE IMMEDIATELY REPLACED THE SYRINGE WITH A NEW PREFILLED SYRINGE TO COMPLETE THE PROCEDURE. THE INCIDENT DID NOT CAUSE HARM TO THE PATIENT.

Description of Event or Problem · 0

UNKNOWN LOT NUMBER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
355950 SYRINGE 10ML SALINE FILL CHINA SP SALINE, VASCULAR ACCESS FLUSH NGT BD MEDICAL (BD WEST) MEDICAL SURGICAL UNKNOWN 00382903065950

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown