FDA Adverse Event Malfunction Summary report: N

BD SAFETYGLIDE

MDR report key: 24767372 · Received April 2, 2026

Report

Report Number
1213809-2026-00166
Event Type
Malfunction
Date Received
April 2, 2026
Date of Event
March 9, 2026
Report Date
April 21, 2026
Manufacturer
BECTON DICKINSON MEDICAL SYSTEMS
Product Code
FMI
UDI-DI
00382903059010
PMA / PMN Number
K951254
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H.3. IF A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS COMPLETED, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

FOLLOW UP REPORT FOR CORRECTION.

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: BASED ON THE INVESTIGATION AND WITH NO SAMPLE ANALYSIS THE SYMPTOM REPORTED BY THE CUSTOMER COULD NOT BE CONFIRMED. WE WILL CONTINUE MONITORING THE COMPLAINT TREND FOR THE PRODUCT AND SYMPTOM. WITH NO ACTUAL SAMPLE ANALYSIS, A PROBABLE ROOT CAUSE COULD NOT BE OFFERED.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD NEEDLE SFTYGLD 25X5/8 RB NEEDLE PULLED OUT OF HUB. COMPLAINT VIA PHONE. CASE DESCRIPTION: THE BD SAFETYGLIDE¿ NEEDLE 25 G X 5/8 IN IS PRESENTING ISSUES WITH A COUPLE OF SAMPLES, THE CUSTOMER INFORMED THAT THE NEEDLE DETACHED FROM THE HUB AND THE NEEDLE GOT STUCK IN THE HUB. HE MENTIONED THAT THIS HAPPENED THREE TIMES. PRODUCT: BDSAFETYGLIDE¿ NEEDLE 25 G X 5/8 IN. REF#: 305901, LOT#: 5080421, CUSTOMER RESPONSE ON (B)(6) 2026. 1. CAN YOU PLEASE PROVIDE AN EXACT DATE OF EVENT IN FORMAT MM-DD-YYYY? AROUND 09-03-2026. 2. DESCRIBE ANY PATIENT HARM, INJURY, COMPLICATION OR NEGATIVE OUTCOME THAT OCCURRED AS A RESULT OF THE EVENT. NONE REPORTED BY THE PATIENT. 3. COULD YOU PLEASE CONFIRM IF ANY SAMPLES ARE AVAILABLE FOR RETURN SO WE CAN INVESTIGATE FURTHER? NO SAMPLES AVAILABLE.

Description of Event or Problem · 0

"NO ADDITIONAL INFORMATION WAS PROVIDED."

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
249881 BD SAFETYGLIDE NEEDLE, HYPODERMIC, SINGLE LUMEN FMI BECTON DICKINSON MEDICAL SYSTEMS 5080421 00382903059010

Patients

Seq Age Sex Outcome Treatment
1