FDA Adverse Event Malfunction Summary report: N

BD NEEDLE

MDR report key: 25321933 · Received May 28, 2026

Report

Report Number
3003916417-2026-00080
Event Type
Malfunction
Date Received
May 28, 2026
Date of Event
April 27, 2026
Report Date
May 28, 2026
Manufacturer
BECTON DICKINSON IND. CIRURGICAS LTDA
Product Code
FMI
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
PHARMACIST
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. THIS REPORT IS SUPPLEMENTAL TO PREVIOUSLY SUBMITTED 2243072-2026-00360. IT HAS BEEN DETERMINED THAT THE LEGAL MANUFACTURER IS CURITIBA. THIS NEW MDR IS BEING SUBMITTED TO CORRECT THE LEGAL SITE AND TO SUBMIT A MDR UNDER THE CORRECT SITE REGISTRATION NUMBER. A CORRECTION SUPPLEMENTAL HAS BEEN SUBMITTED FOR 243072-2026-0036.

Description of Event or Problem · 0

THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: IT WAS REPORTED THAT DIRT WAS FOUND INSIDE THE NEEDLE DURING HANDLING. DISPOSABLE NEEDLE 40X12 S DISP SEG. EXPIRY DATE: 31/10/2030. LOT: SAGAAB051D. INVOICE NUMBER: (B)(4). SAMPLE AVAILABLE. THE SAMPLE WILL ONLY BE TAKEN IF THE PRODUCT IS EXCHANGED. AFTER 60 DAYS OF NOTIFICATION, THE SAMPLE WILL BE DISCARDED. SAMPLE COLLECTION TIMES: MONDAY TO FRIDAY, FROM 8AM TO 4PM. ADDITIONAL INFORMATION PROVIDED: MATERIAL NUMBER WAS IDENTIFIED AS 300017 ON 05/18/2026.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
160924 BD NEEDLE NEEDLE, HYPODERMIC, SINGLE LUMEN FMI BECTON DICKINSON IND. CIRURGICAS LTDA UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1