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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON MEDICAL SYSTEMS BD SAFETYGLIDE; NEEDLE, HYPODERMIC, SINGLE LUMEN

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BECTON DICKINSON MEDICAL SYSTEMS BD SAFETYGLIDE; NEEDLE, HYPODERMIC, SINGLE LUMEN Back to Search Results
Catalog Number 305901
Medical Device Problem Code Contamination /Decontamination Problem (2895)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/19/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that bd needle sftygld 25x5/8 rb contained foreign matter.Complaint via phone.Case description: there is a hair sticking out of the cap, she can even see the hair follicle.Product: bd safetyglide¿ needle 25 g x 5/8 in.Ref#: 305901, lot#: 5080421.Can you please provide an exact date of event in format dd-mmm-yyyy? 19-mar-2026.Any sample or photo available for investigation? describe any patient harm, injury, complication or negative outcome that occurred as a result of the event.Near miss.No patient harm occurred.Nurse went to attach the needle to syringe but could clearly see the hair sticking out of the cap and did not use the product.
 
Additional Manufacturer Narrative
H.3.If a device evaluation and/or device history review is completed, a supplemental report will be filed.
 
Additional Manufacturer Narrative
(b)(4).Follow up for device evaluation it was reported that a hair was protruding from the cap.To support the investigation, the quality team received one sample with an opened blister package and two photographs for evaluation.A visual inspection confirmed a hair trapped between the needle hub and the plastic shield.The photographs provided correspond to the sample received.No additional defects or abnormalities were observed.This condition could result from a gowning nonconformance.A device history record review was completed for material number 305901, lot 5080421.The review confirmed that all required visual inspections were performed and that no quality notifications were generated related to the reported condition.The lot was inspected and accepted in accordance with the inspection control plan and was approved for shipment.In addition, device history documentation was reviewed for each lot of needles used in the manufacture of the final lot, and no records of this defect type were identified throughout the production run.The sample will be used for associate awareness.Based on the investigation and returned sample evaluation, the customer reported condition is confirmed.
 
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Brand Name
BD SAFETYGLIDE
Common Device Name
NEEDLE, HYPODERMIC, SINGLE LUMEN
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 Key24791164
Report Number1213809-2026-00176
Device Sequence Number13222839
Product Code FMI
UDI-Device Identifier00382903059010
UDI-Public(01)00382903059010(10)5080421
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K951254
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,User Facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 04/24/2026
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 Health Professional
Device Catalogue Number305901
Device Lot Number5080421
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 03/19/2026
Supplement Date Received by Manufacturer04/24/2026
Initial Report FDA Received Date04/06/2026
Supplement Report FDA Received Date04/24/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/21/2025
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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