FDA Adverse Event Malfunction Summary report: N

BD NEEDLE PRECISIONGLIDE 21X1IN

MDR report key: 24606829 · Received March 16, 2026

Report

Report Number
3003916417-2026-00042
Event Type
Malfunction
Date Received
March 16, 2026
Date of Event
November 25, 2025
Report Date
March 16, 2026
Manufacturer
BECTON DICKINSON IND. CIRURGICAS LTDA
Product Code
FMI
UDI-DI
30000078909794
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-AI2-SM2 NEEDLE PRECISIONGLIDE 21X1IN NEEDLE WAS BROKEN. PRODUCT: NEEDLE 0.80X25MM (21GX1'') LOT: 5120729 - 1 UNIT 1 NEEDLE WITH HOLE IN THE PACKAGE. CORRIDO DATE: (B)(6) 2025. LOT: 4204356 - 1 UNIT 1 BROKEN NEEDLE CORRIDO DATE: (B)(6) 2025. LOT: 5150655 - 1 UNIT 1 DEFORMED TIP OF THE NEEDLE CAP. CORRIDO DATE: (B)(6) 2025.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
205942 BD NEEDLE PRECISIONGLIDE 21X1IN NEEDLE, HYPODERMIC, SINGLE LUMEN FMI BECTON DICKINSON IND. CIRURGICAS LTDA 4204356 30000078909794

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other