FDA Adverse Event Injury Summary report: N

VACUTAI

MDR report key: 24942527 · Received April 21, 2026

Report

Report Number
1024879-2026-00592
Event Type
Injury
Date Received
April 21, 2026
Date of Event
March 23, 2026
Report Date
April 30, 2026
Manufacturer
BECTON DICKINSON & CO (FRANKLIN LAKES)
Product Code
JKA
UDI-DI
30382903686071
PMA / PMN Number
K243207
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BD DID NOT RECEIVE ANY SAMPLES OR PHOTOS FOR INVESTIGATION. BASED ON A REVIEW OF THE DEVICE HISTORY RECORD FOR THE INCIDENT LOT, ALL PRODUCT SPECIFICATIONS AND REQUIREMENTS FOR LOT RELEASE WERE MET. THIS COMPLAINT HAS NOT BEEN CONFIRMED FOR THE INDICATED FAILURE MODE: DEFECTIVE LOCKING MECHANISM. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. INFORMATION WILL BE CAPTURED ON TREND REPORTS AND MONITORED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR THE IDENTIFICATION OF EMERGING TRENDS.

Additional Manufacturer Narrative · 0

B3: DATE OF EVENT IS UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. THERE WERE MULTIPLE 510K NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION IS AS FOLLOWS: G4: PMA/510(K)#: K982541. A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

IT WAS REPORTED WHILE USING BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE, A STAFF MEMBER WAS INJURED AFTER A SAFETY DEVICE FAILED TO ACTIVATE PROPERLY AND DETACHED FROM THE NEEDLE BODY AND HUB. EMPLOYEE REPORTED THAT THIS WAS THE SECOND OCCURRENCE THAT MORNING. IT WAS NOT REPORTED WHETHER MEDICAL INTERVENTION OR TREATMENT TOOK PLACE.

Description of Event or Problem · 0

IT WAS REPORTED WHILE USING BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE, A STAFF MEMBER WAS INJURED AFTER A SAFETY DEVICE FAILED TO ACTIVATE PROPERLY AND DETACHED FROM THE NEEDLE BODY AND HUB. EMPLOYEE REPORTED THAT THIS WAS THE SECOND OCCURRENCE THAT MORNING. IT WAS NOT REPORTED WHETHER MEDICAL INTERVENTION OR TREATMENT TOOK PLACE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
221327 VACUTAI TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION JKA BECTON DICKINSON & CO (FRANKLIN LAKES) 5337985 30382903686071

Patients

Seq Age Sex Outcome Treatment
1