FDA Adverse Event
Malfunction
Summary report: N
BD LUER-LOK
MDR report key: 25174846
·
Received May 14, 2026
Report
- Report Number
- 1213809-2026-00252
- Event Type
- Malfunction
- Date Received
- May 14, 2026
- Date of Event
- April 6, 2026
- Report Date
- May 5, 2026
- Manufacturer
- BECTON DICKINSON MEDICAL SYSTEMS
- Product Code
- FMF
- UDI-DI
- 00382903029952
- PMA / PMN Number
- K110771
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
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 SYRINGE 10ML LL S/C 200 CONTAINED FOREIGN MATTER. VERBATIM: COMPLAINT VIA EMAIL. EMAIL(S) ATTACHED. PLEASE SEE ATTACHED SYRINGE 10ML HAS A BLACK MARKING. LOT 5232581. HAS BEEN OPENED BUT NOT USED. CAN SEND BACK FOR REVIEW / INVESTIGATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 415433 | BD LUER-LOK | PISTON SYRINGE | FMF | BECTON DICKINSON MEDICAL SYSTEMS | 5232581 | 00382903029952 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |