FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® ULTRATOUCH¿ PUSH BUTTON

MDR report key: 24634899 · Received March 18, 2026

Report

Report Number
1024879-2026-00384
Event Type
Malfunction
Date Received
March 18, 2026
Date of Event
February 9, 2026
Report Date
April 20, 2026
Manufacturer
BECTON DICKINSON & CO (FRANKLIN LAKES)
Product Code
FPA
UDI-DI
30382903686866
PMA / PMN Number
K212724
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: BD HAD NOT RECEIVED ANY SAMPLES OR PHOTOS FOR INVESTIGATION. BASED ON A REVIEW OF THE DEVICE HISTORY RECORD FOR THE INCIDENT LOTS, ALL PRODUCT SPECIFICATIONS AND REQUIREMENTS FOR LOT RELEASE WERE MET. THIS COMPLAINT HAS NOT BEEN CONFIRMED FOR THE LOT 5020089, FOR THE INDICATED FAILURE MODE: INSUFFICIENT BLOOD FLOW. BD WAS NOT ABLE TO IDENTIFY A ROOT CAUSE FOR THE INDICATED FAILURE MODE. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR THE IDENTIFICATION OF EMERGING TRENDS.

Additional Manufacturer Narrative · 0

D2A. THERE WERE MULTIPLE MEDICAL DEVICE TYPES REPORTED TO BE INVOLVED. THE INFORMATION FOR THE ADDITIONAL DEVICE TYPE IS AS FOLLOWS: JKA. D2B. COMMON DEVICE NAME: TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION. A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

REPORT 2 OF 2 IT WAS REPORTED WHILE USING BD VACUTAINER® ULTRATOUCH¿ PUSH BUTTON, INSUFFICIENT BLOOD FLOW WAS SEEN WITH AN UNSPECIFIED NUMBER OF DEVICES. ONLY A FEW DROPS WERE COLLECTED FROM THE FIRST SAMPLE, WHILE THE SECOND SAMPLE REMAINED EMPTY. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR USER.

Description of Event or Problem · 0

REPORT 2 OF 2. IT WAS REPORTED WHILE USING BD VACUTAINER® ULTRATOUCH¿ PUSH BUTTON, INSUFFICIENT BLOOD FLOW WAS SEEN WITH AN UNSPECIFIED NUMBER OF DEVICES. ONLY A FEW DROPS WERE COLLECTED FROM THE FIRST SAMPLE, WHILE THE SECOND SAMPLE REMAINED EMPTY. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
695860 BD VACUTAINER® ULTRATOUCH¿ PUSH BUTTON SET, ADMINISTRATION, INTRAVASCULAR FPA BECTON DICKINSON & CO (FRANKLIN LAKES) 5020089 30382903686866

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown