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 |