FDA Adverse Event Malfunction Summary report: N

BD PLASTIPAK LUER-LOK

MDR report key: 25052779 · Received April 30, 2026

Report

Report Number
3003152976-2026-00201
Event Type
Malfunction
Date Received
April 30, 2026
Date of Event
April 15, 2026
Report Date
April 17, 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
SF
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B.3. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. 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: OPEN 50ML SYRINGES TIP OF SYRINGE DIRTY. IT WAS REPORTED THAT WHEN THE ANESTHETIST OPENED THE PACKAGING OF THE 50 ML SYRINGE THE TIP WAS DIRTY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
131010 BD PLASTIPAK LUER-LOK PISTON SYRINGE FMF BECTON DICKINSON, S.A. 2510069 00382903008650

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown