FDA Adverse Event
Malfunction
Summary report: N
BD SYRINGE PLASTIPAK 5ML S/SU
MDR report key: 24932222
·
Received April 20, 2026
Report
- Report Number
- 3003916417-2026-00063
- Event Type
- Malfunction
- Date Received
- April 20, 2026
- Date of Event
- February 13, 2026
- Report Date
- April 6, 2026
- Manufacturer
- BECTON DICKINSON IND. CIRURGICAS LTDA
- Product Code
- FMF
- PMA / PMN Number
- N/A
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BR
- Reporter Occupation
- PHARMACIST
- 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.
Description of Event or Problem · 0
IT WAS REPORTED THAT BD EVA-AI3-SM3 SYRINGE PLASTIPAK 5ML S/SU STERILITY WAS QUESTIONED. IT WAS REPORTED THAT 11 UNITS WERE IDENTIFIED WITH THE PACKAGING OPEN. PRODUCT: SERINGA DESC 5ML L LOCK CX 700UN BD REF (B)(4). LOT: 5272973 ; EXPIRY DATE: 30/09/2030. ADDITIONAL INFORMATION RECEIVED ON 15-APR-2026. HAS THERE BEEN ANY DAMAGE TO THE PATIENT'S HEALTH? IF YES, PLEASE EXPLAIN IN DETAIL. NO. WAS THE INCIDENT NOTIFIED TO ANVISA? IF YES, WHAT WAS THE NOTIFICATION NUMBER? YES, NOTIFICATION NUMBER: (B)(4). CAN YOU CONFIRM THE DATE (DD/MM/YYYY) ON WHICH THE PROBLEM/DEFECT OCCURRED OR WAS IDENTIFIED? (B)(6) 2026.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 416699 | BD SYRINGE PLASTIPAK 5ML S/SU | PISTON SYRINGE | FMF | BECTON DICKINSON IND. CIRURGICAS LTDA | 5272973 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |