FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE PAH

MDR report key: 25209112 · Received May 18, 2026

Report

Report Number
1024879-2026-00803
Event Type
Malfunction
Date Received
May 18, 2026
Date of Event
April 17, 2026
Report Date
April 24, 2026
Manufacturer
BECTON DICKINSON & CO (FRANKLIN LAKES)
Product Code
JKA
UDI-DI
50382903686518
PMA / PMN Number
K243207
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THERE WERE MULTIPLE 510K NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION IS AS FOLLOWS: G.4. PMA / 510(K)#: K982541. A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

IT WAS REPORTED WHILE USING BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE PAH, BLACK FOREIGN MATTER WAS SEEN ON THE CANNULA OF ONE DEVICE. NO ADVERSE IMPACT WAS REPORTED REGARDING THE PATIENT OR USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
446667 BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE PAH TUBES, VIALS, SYSTEMS, SERUM SEPARATORS, BLOOD COLLECTION JKA BECTON DICKINSON & CO (FRANKLIN LAKES) 5189620 50382903686518

Patients

Seq Age Sex Outcome Treatment
1