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 |