| Brand Name | BD LUER-LOK PRECISIONGLIDE |
| 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 Key | 25218577 |
| Report Number | 1213809-2026-00261 |
| Device Sequence Number | 9810576 |
| Product Code |
FMF
|
| UDI-Device Identifier | 00382903096428 |
| UDI-Public | (01)00382903096428 |
| Combination Product (Y/N) | N |
| Initial Reporter State | GA |
| 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,Followup |
| Report Date (Section B) |
06/01/2026 |
| 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 Number | 309642 |
| Device Lot Number | 5343407 |
| 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 | 04/24/2026 |
| Supplement Date Received by Manufacturer | 05/18/2026 06/01/2026
|
| Initial Report FDA Received Date | 05/19/2026 |
| Supplement Report FDA Received Date | 05/26/2026 06/02/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 12/09/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |