FDA Adverse Event Malfunction Summary report: N

BD PLASTIPAK LUER-LOK

MDR report key: 24654708 · Received March 20, 2026

Report

Report Number
3003152976-2026-00146
Event Type
Malfunction
Date Received
March 20, 2026
Date of Event
February 10, 2026
Report Date
March 19, 2026
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMF
UDI-DI
00382903008650
PMA / PMN Number
SEE H.11
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

G.4. APPLICABLE 510K NUMBERS ARE K182589;K980987. 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 50ML LL HAD FOREIGN MATTER. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: BLACK SPOT ON THE TUBE WHEN DID THE INCIDENT OCCUR? DURING USE IT WAS REPORTED THAT UPON OPENING THE SYRINGE: IT IS COVERED WITH BLACK SPOTS, EVEN ON THE SCREW-ON PART, WHICH SEEM TO COME OFF WHEN RUBBED DURING HANDLING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
601985 BD PLASTIPAK LUER-LOK PISTON SYRINGE FMF BECTON DICKINSON, S.A. 2510121 00382903008650

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown