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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON MEDICAL SYSTEMS PLASTIPAK LUER-LOK; PISTON SYRINGE

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BECTON DICKINSON MEDICAL SYSTEMS PLASTIPAK LUER-LOK; PISTON SYRINGE Back to Search Results
Catalog Number 305060
Medical Device Problem Code Unsealed Device Packaging (1444)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/13/2026
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 syringe 3ml ll w/ndl 18x1-1/2 blunt fill package was damaged / defective.Verbatim: rcc received a complaint via email.The sterile packaging was not sealed when they were taken out of the box.Product#: 305060 lot#: 5273064.
 
Event or Problem Description
No additional information was provided.
 
Additional Manufacturer Narrative
(b)(4) - supplemental mdr - package damaged / defective / other.Fifteen samples and one photo of 3 ml luer lok syringes with 18×1½" blunt fill needles (part number 309646, batch 5273064) were received and evaluated.All samples were packaged with the top web misaligned to the bottom web by approximately one inch, creating an open seal condition that compromises sterility.The photo provided shows ten syringe packages demonstrating the same issue.The condition observed is non-conforming to product specifications, and the seal integrity defect is likely related to the packaging process.Furthermore, a device history record review was completed for lot 5273064, and the review showed no rejected inspections or quality issues during production that could have contributed to the reported defect.Complaints received for this device and the reported condition will continue to be tracked and trended.Information will be captured in trend reports and monitored monthly, and our business team regularly reviews the collected data to identify any emerging trends.
 
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Brand Name
PLASTIPAK LUER-LOK
Common Device Name
PISTON SYRINGE
Manufacturer (Section D)
BECTON DICKINSON MEDICAL SYSTEMS
route 7 and grace way
canaan CT 06018
Manufacturer (Section G)
BECTON DICKINSON MEDICAL SYSTEMS
route 7 and grace way
canaan CT 06018
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key24249028
Report Number1213809-2026-00046
Device Sequence Number9658054
Product Code FMF
UDI-Device Identifier00382903050604
UDI-Public(01)00382903050604(17)300930(10)5273064
Combination Product (Y/N)N
Initial Reporter StateTN
Initial Reporter CountryUS
PMA/510(K) Number
K110771
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Distributor
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 03/05/2026
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 Number305060
Device Lot Number5273064
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/21/2026
Supplement Date Received by Manufacturer03/05/2026
Initial Report FDA Received Date02/03/2026
Supplement Report FDA Received Date03/09/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/30/2025
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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