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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON MEDICAL SYSTEMS BD SAFETYGLIDE; PISTON SYRINGE

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BECTON DICKINSON MEDICAL SYSTEMS BD SAFETYGLIDE; PISTON SYRINGE Back to Search Results
Catalog Number 309623
Medical Device Problem Code Connection Problem (2900)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 04/01/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that bd syringe 1ml s/t w/ndl 27x1/2 rb had a syringe needle connectivity issue.Verbatim: complaint via email.Complaint: a registered nurse reported to (b)(6) medical care via email that a bd 1ml tb syringe slip tip with bd precision glide needle detached from syringe when used for intradermal injection leaving needle on patient's skin.This report reflects information received by fda in the form of a notification per 803.22 (b)(2).
 
Additional Manufacturer Narrative
B3.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.
 
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Brand Name
BD SAFETYGLIDE
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 Key24955261
Report Number1213809-2026-00213
Device Sequence Number5278225
Product Code FMF
UDI-Device Identifier00382903096237
UDI-Public(01)00382903096237(11)250430(17)300331(10)5120593
Combination Product (Y/N)N
Initial Reporter StateAR
Initial Reporter CountryUS
PMA/510(K) Number
K110771
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,User Facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 05/22/2026
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 Number309623
Device Lot Number5120593
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 04/01/2026
Supplement Date Received by Manufacturer05/22/2026
Initial Report FDA Received Date04/22/2026
Supplement Report FDA Received Date05/26/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/30/2025
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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