FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES

MDR report key: 25130652 · Received May 8, 2026

Report

Report Number
1024879-2026-00731
Event Type
Malfunction
Date Received
May 8, 2026
Date of Event
April 1, 2026
Report Date
May 21, 2026
Manufacturer
BECTON DICKINSON & CO (FRANKLIN LAKES)
Product Code
JKA
UDI-DI
30382903679899
PMA / PMN Number
BK050036
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THERE WERE MULTIPLE 510K NUMBERS G4: PMA / 510(K)#: K230855.

Description of Event or Problem · 0

IT WAS REPORTED AFTER USING BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES, THE STOPPER POPPED OFF ONE (1) TUBE. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
377581 BD VACUTAINER® SST¿ BLOOD COLLECTION TUBES TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION JKA BECTON DICKINSON & CO (FRANKLIN LAKES) 5211572 30382903679899

Patients

Seq Age Sex Outcome Treatment
1