FDA Adverse Event Malfunction Summary report: N

BD SER PLAS 1ML 13X3,8 U-100 150

MDR report key: 25167702 · Received May 14, 2026

Report

Report Number
3003916417-2026-00074
Event Type
Malfunction
Date Received
May 14, 2026
Date of Event
April 29, 2026
Report Date
May 4, 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
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. 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 SER PLAS 1ML 13X3,8 U-100 150 CONTAINED FOREIGN MATTER. VERBATIM: "WE FOUND A UNIT OF THE 1ML SYRINGE WITH NEEDLE IN OUR STOCK WITH DIRT ON ITS PACKAGING. THE PACKAGING HAD NOT BEEN OPENED, WAS SEALED AND IS BEING KEPT WITH US FOR COLLECTION IF NECESSARY. I REQUEST AN INVESTIGATION AND AWAIT INSTRUCTIONS." PRODUCT: 1ML SYRINGE WITH NEEDLE 0.38X13MM (27.5G X 1/2") LUER SLIP REF. 990147 LOT: 4297793 EXPIRY DATE: 11/2029 MANUFACTURE: 11/2024.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
627287 BD SER PLAS 1ML 13X3,8 U-100 150 PISTON SYRINGE FMF BECTON DICKINSON IND. CIRURGICAS LTDA 4297793

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other