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 |