SAFETYGLIDE
Report
- Report Number
- 1213809-2026-00124
- Event Type
- Malfunction
- Date Received
- March 17, 2026
- Date of Event
- February 20, 2026
- Report Date
- April 13, 2026
- Manufacturer
- BECTON DICKINSON MEDICAL SYSTEMS
- Product Code
- FMF
- UDI-DI
- 00382903096237
- PMA / PMN Number
- K110771
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
(B)(4) - SUPPLEMENTAL MDR - NEEDLE PULLED OUT OF HUB. SINCE NO SAMPLES DISPLAYING THE CONDITION REPORTED ARE AVAILABLE FOR EXAMINATION, WE WERE UNABLE TO FULLY INVESTIGATE THIS INCIDENT. NO ROOT CAUSE CAN BE DETERMINED AS NO SAMPLES WERE RECEIVED. FURTHERMORE, A DEVICE HISTORY RECORD REVIEW SHOWED NO REJECTED INSPECTIONS OR QUALITY ISSUES DURING THE PRODUCTION OF THE PROVIDED LOT NUMBER THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT. WE WOULD BE VERY INTERESTED IN EXAMINING PRODUCT THAT DOES NOT MEET YOUR EXPECTATIONS AND OUR QUALITY STANDARDS. SHOULD YOU AGAIN EXPERIENCE ANY PROBLEMS WITH OUR PRODUCT WE WOULD APPRECIATE THE OPPORTUNITY TO CONDUCT A THOROUGH ANALYSIS. EXAMINATION OF THE PRODUCT INVOLVED MAY PROVIDE CLARIFICATION AS TO THE CAUSE FOR THE REPORTED FAILURE. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. INFORMATION WILL BE CAPTURED ON TREND REPORTS AND MONITORED MONTHLY. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.
B3. 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.
NO ADDITIONAL INFORMATION WAS PROVIDED.
IT WAS REPORTED THAT BD SYRINGE 1ML S/T W/NDL 27X1/2 RB HAD A SYRINGE NEEDLE CONNECTIVITY ISSUE. RCC RECEIVED A COMPLAINT VIA EMAIL. EMAIL(S) ATTACHED. COMPLAINT#: (B)(4). PRODUCT: BD 1ML TB SYRINGE SLIP TIP WITH DETACHABLE PRECISION GLIDE NEEDLE. PRODUCT #: UNKNOWN. LOT NUMBER#: 5120593. COMPLAINT: A REGISTERED NURSE REPORTED VIA EMAIL THAT A BD 1ML TB SYRINGE SLIP TIP WITH BD PRECISION GLIDE NEEDLE DETACHED FROM SYRINGE WHEN USED FOR INTRADERMAL INJECTION LEAVING NEEDLE ON PATIENT'S SKIN. POST MARKET SURVIELLANCE SPECIALIST.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 484743 | SAFETYGLIDE | PISTON SYRINGE | FMF | BECTON DICKINSON MEDICAL SYSTEMS | 5120593 | 00382903096237 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |