BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD SYRINGE

    MDR report key: 24584753 · Received March 12, 2026

    Report

    Report Number
    3003152976-2026-00135
    Event Type
    Malfunction
    Date Received
    March 12, 2026
    Date of Event
    March 5, 2026
    Report Date
    March 9, 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. 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 PLUNGER ROD WAS BROKEN /DAMAGED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: MATERIAL#: 302055, BATCH#: UNKNOWN. IT WAS REPORTED BY CUSTOMER THAT "SYRINGE BROKE." COMPLAINT VIA EMAIL. MEDLINE COMPLAINT#: (B)(4), DEFECT DESCRIPTION: SYRINGE BROKE, MEDLINE PART#: 153238, PRODUCT DESCRIPTION: SYRINGE 20ML LL NS, VENDOR PART#: 302055, LOT#: UNKNOWN, DATE REPORTED: 2/2/2026, SAMPLE RECEIVED: NO, RESPONSE NEEDED: YES, INCIDENT REPORTED TO THE FDA AS MDR-30 DAY. REFERENCE NO. 1423395-2026-00022. NO FURTHER DETAILS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    507835 BD SYRINGE PISTON SYRINGE FMF BECTON DICKINSON, S.A. UNKNOWN 00382903020553

    Patients

    Seq Age Sex Outcome Treatment
    1