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

Catalog Number	309580
Medical Device Problem Code	Leak/Splash (1354)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	02/28/2026
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 the bd syringe 3ml ll w/ndl 18x1-1/2 rb had leakage.The following information was provided by the initial reporter: material: 309580 batch#: 5338599, 5353717.It was reported by the customer that cannot twist the needle of to connect into her line , and also her medication leak it from the bottle making it contaminated.Verbatim: hello, attached you will find images of the lot and reference numbers of the syringes that have been defective in the last few days.I will also supply you with that information via text in this email.I did not save any of the bad syringes for investigation because i completely forgot to.I give myself injections at home, so these circumstances did not happen at a hospital or clinic and there were no cases reported besides my calling up bd to inform you of what has been occurring for quite some time.Syringes that have been defective within the last few days: lot 5338599 ref 309580 lot 5338599 ref 309580 lot 5353717 ref 309580 lot 5338599 ref 309580 lot 5338599 ref 309580.Additional information provided: a couple of them were defective on the same day.I am the patient and am very skilled at self-injection and have been experiencing issues with these syringes for quite some time now.No serious injury occurred besides having to waste and not able to give myself medication.At this time, i do not have any samples.When using the syringe, i am just very accustomed to put the used needle in the sharpie container resulting in it slipping my mind to save a sample.I do however have the wrapping for one of the syringes in question: lot: 5353717.Ref: 309580 just last night i had to waste two vials of my iv medication because the syringes were leaking, leaving the medication to become contaminated and useless.

• 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 Key: 24681755
• Report Number: 1213809-2026-00151
• Device Sequence Number: 15879465
• Product Code: FMF
• UDI-Device Identifier: 00382903095803
• UDI-Public: (01)00382903095803
• Combination Product (Y/N): N
• Initial Reporter State: CA
• Initial Reporter Country: US
• PMA/510(K) Number: K110771
• Number of Events Summarized: 1
• 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): 05/21/2026

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: Lay User/Patient
• Device Catalogue Number: 309580
• Device Lot Number: 5338599
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 03/06/2026
• Supplement Date Received by Manufacturer: 05/21/2026
• Initial Report FDA Received Date: 03/24/2026
• Supplement Report FDA Received Date: 05/27/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 12/04/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown