FDA Adverse Event
Malfunction
Summary report: N
PLASTIPAK LUER-LOK
MDR report key: 24738010
·
Received March 31, 2026
Report
- Report Number
- 3003152976-2026-00155
- Event Type
- Malfunction
- Date Received
- March 31, 2026
- Date of Event
- March 20, 2026
- Report Date
- March 23, 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
- AS
- 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 50 ML LL HAD FOREIGN MATTER. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: CLINICAL AREA REPORTS ¿ MULTIPLE FIBRES (PLASTIC) FOUND INSIDE WHAT IS SUPPOSED TO BE A STERILE SYRINGE/PLUNGER WHEN PACKAGE OPENED. NOTED BEFORE USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 479147 | PLASTIPAK LUER-LOK | PISTON SYRINGE | FMF | BECTON DICKINSON, S.A. | 2505123 | 00382903008650 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |