FDA Adverse Event Malfunction Summary report: N

BD SYRINGE

MDR report key: 24510214 · Received March 4, 2026

Report

Report Number
3003152976-2026-00124
Event Type
Malfunction
Date Received
March 4, 2026
Date of Event
February 26, 2026
Report Date
March 3, 2026
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMF
UDI-DI
00382903020553
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

B.3. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. E.1. ADDRESS WAS NOT LOCATED AND IL WAS USED. 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 THE BD SYRINGE 20ML LL NS HAD FOREIGN MATTER. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: MATERIAL#: 302055, BATCH#: UNKNOWN. IT WAS REPORTED BY CUSTOMER THAT THEY STATE MOISTURE IN SYRINGE. RCC RECEIVED A COMPLAINT VIA EMAIL. WE WERE NOTIFIED OF A COMPLAINT FROM A CUSTOMER STATING MOISTURE IN SYRINGE. PLEASE SEE THE BELOW DETAILS REGARDING THE REPORTED ISSUE. IF IT IS INDICATED THAT A SAMPLE IS AVAILABLE, PLEASE PROVIDE SHIPPING INSTRUCTIONS WITHIN 30 DAYS OR THE SAMPLE WILL BE DISPOSED OF. MEDLINE COMPLAINT#: (B)(4). DEFECT DESCRIPTION: MOISTURE IN SYRINGE. MEDLINE PART#: 153240. PRODUCT DESCRIPTION: SYRINGE 20ML LL BNS. VENDOR PART#: 302055. LOT#: UNKNOWN. DATE REPORTED: 1/28/2026. SAMPLE RECEIVED: YES. RESPONSE NEEDED: YES, INCIDENT REPORTED TO THE FDA AS MDR-30 DAY. REFERENCE NO. 1423395-2026-00026.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
157430 BD SYRINGE PISTON SYRINGE FMF BECTON DICKINSON, S.A. UNKNOWN 00382903020553

Patients

Seq Age Sex Outcome Treatment
1