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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON, S.A. BD PHASEAL OPTIMA; CLOSED ANTINEOPLASTIC AND HAZARDOUS DRUG RECONSTITUTION AND TRANSFER SYSTEM

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BECTON DICKINSON, S.A. BD PHASEAL OPTIMA; CLOSED ANTINEOPLASTIC AND HAZARDOUS DRUG RECONSTITUTION AND TRANSFER SYSTEM Back to Search Results
Catalog Number 515064
Medical Device Problem Code Contamination (1120)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/11/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
B.3.The date received by manufacturer has been used for this field.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 the bd protector p20-o had foreign matter.The following information was provided by the initial reporter: we recently performed a flush procedure on the two components listed below using our standard formulation buffer.After storage, we observed the following phenomena: a distinct oily film floating on the liquid surface visible particulates settling at the bottom of the container could you please confirm: what type of silicone oil (e.G., picture below) is used in the manufacturing or surface treatment of these components? is the silicone oil applied as a coating, lubricant, or anti-foaming agent during production? are there any specifications or test data available regarding silicone oil leaching under aqueous buffer conditions? we appreciate your attention to this matter.Your clarification will help us assess potential root causes and determine next steps.Products: phaseal optima protector 515064 syringe adapter injector 515052 and 515053.Per additional details: response information: the silicone used in these products is a medical grade silicone lubricant.The exact type is proprietary and cannot be shared.It is applied at a lubricant.I am reaching back out to medical affairs regarding any testing we may have.We will email you a response once it is received.Internal response notes: original email on email string shows that customer was corresponding with (b)(6) in medical affairs.On (b)(6) 2026 emailed (b)(6) requesting any testing we may have performed regarding leaching.
 
Additional Manufacturer Narrative
(b)(4).Follow up mdr for device evaluation: no photos or physical samples that display the reported condition were available for investigation.Product undergoes inspections throughout the manufacturing process to ensure the quality and functionality of the device.As the lot involved in this incident is unknown, a device history review cannot be performed, and additional retained samples cannot be evaluated.Based on the limited information we are not able to identify a root cause at this time.Complaints received for this device and reported condition will continue to be tracked and trended.Our quality team regularly reviews the collected data for identification of emerging trends.
 
Event or Problem Description
No additional information.
 
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Brand Name
BD PHASEAL OPTIMA
Common Device Name
CLOSED ANTINEOPLASTIC AND HAZARDOUS DRUG RECONSTITUTION AND TRANSFER SYSTEM
Manufacturer (Section D)
BECTON DICKINSON, S.A.
camino de valdeolivia
s/n
san agustin de guadalix
Manufacturer (Section G)
BECTON DICKINSON, S.A.
camino de valdeolivia
s/n
san agustin de guadalix
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key24437229
Report Number3003152976-2026-00092
Device Sequence Number21409445
Product Code ONB
UDI-Device Identifier00382905150647
UDI-Public(01)00382905150647
Combination Product (Y/N)N
Initial Reporter StateNJ
Initial Reporter CountryUS
PMA/510(K) Number
K181221
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility
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 Number515064
Device Lot NumberUNKNOWN
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 02/11/2026
Supplement Date Received by Manufacturer03/05/2026
Initial Report FDA Received Date02/24/2026
Supplement Report FDA Received Date03/05/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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