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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BD MEDICAL (BD WEST) MEDICAL SURGICAL BD NEEDLE 23X1 RB; NEEDLE, HYPODERMIC, SINGLE LUMEN

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BD MEDICAL (BD WEST) MEDICAL SURGICAL BD NEEDLE 23X1 RB; NEEDLE, HYPODERMIC, SINGLE LUMEN Back to Search Results
Catalog Number 305145
Medical Device Problem Code Contamination (1120)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/15/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
H.3.If a device evaluation and/or device history review is completed, a supplemental report will be filed.
 
Event or Problem Description
It was reported that bd needle 23x1 was contaminated with foreign matter.Verbatim: rcc received a complaint via email.Product description: needle disposable hsi item number: 9870934.Manufacturer part number: 305145 lot or serial number: lot number expiry date 5064152 04/30/2030.Issue: client reports a "hard,white substance" accumulated on outer surface of needles,is reticent to use-- no adverse event(s) reported-- (b)(4) 12/15/2025.
 
Additional Manufacturer Narrative
Investigation results: based on the investigation and with no sample analysis the symptom reported by the customer could not be confirmed.We will continue monitoring the complaint trend for the product and symptom.With no actual sample analysis, a probable root cause could not be offered.
 
Event or Problem Description
No additional information.
 
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Brand Name
BD NEEDLE 23X1 RB
Common Device Name
NEEDLE, HYPODERMIC, SINGLE LUMEN
Manufacturer (Section D)
BD MEDICAL (BD WEST) MEDICAL SURGICAL
1852 10th avenue
columbus NE 68601
Manufacturer (Section G)
BD MEDICAL (BD WEST) MEDICAL SURGICAL
1852 10th avenue
columbus NE 68601
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key24027267
Report Number1911916-2026-00003
Device Sequence Number18441935
Product Code FMI
UDI-Device Identifier00382903051458
UDI-Public(01)00382903051458(17)300430(10)5064152
Combination Product (Y/N)N
Initial Reporter StateAL
Initial Reporter CountryUS
PMA/510(K) Number
K021475
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 01/13/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Other
Device Catalogue Number305145
Device Lot Number5064152
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/15/2025
Supplement Date Received by Manufacturer01/13/2026
Initial Report FDA Received Date01/09/2026
Supplement Report FDA Received Date01/14/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/05/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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