PRECISIONGLIDE
Report
- Report Number
- 1911916-2026-00247
- Event Type
- Injury
- Date Received
- May 28, 2026
- Date of Event
- May 26, 2026
- Report Date
- May 28, 2026
- Manufacturer
- BD MEDICAL (BD WEST) MEDICAL SURGICAL
- Product Code
- FMI
- UDI-DI
- 00382903051274
- PMA / PMN Number
- K021475
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
H.3. A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED.
DESCRIPTION: MATERIAL: 305127 BATCH: 5203335. HAD A POTENTIAL DEFECTIVE NEEDLE THAT BROKE INTO A PATIENT REQUIRING SURGERY FOR REMOVAL. PRODUCT INFO: BD MANUFACTURER, LOT # 5203335/PEOPLESOFT NUMBER 102227/REF # (B(4) EXPIRATION 07/31/2030, BD PRECISION GLIDE NEEDLE 25G X 1 1/2 " (0.5MM). ADDITIONAL INFORMATION: ANY ADVERSE EVENT OR SERIOUS INJURY REPORTED TO PATIENT OR HEALTHCARE PROFESSIONAL? IF YES, PLEASE PROVIDE THE DETAILS. THE NEEDLE WAS LODGED IN THE PATIENT WHICH THE PATIENT HAD TO UNDERGO SURGERY TO REMOVE. WHAT WAS THE PATIENT OUTCOME? THE PATIENT RECEIVED SURGERY AND WAS RELEASED FROM HOSPITAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 9609 | PRECISIONGLIDE | NEEDLE, HYPODERMIC, SINGLE LUMEN | FMI | BD MEDICAL (BD WEST) MEDICAL SURGICAL | 5203335 | 00382903051274 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |