| Brand Name | 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. |
| cr mequinenza |
| s/n |
| fraga, huesca 22520 |
|
SP
22520
|
|
| Manufacturer Contact |
|
helen
cox (mdr)
|
| 75 north fairway drive |
| vernon hills, IL 60061
|
|
8473935694
|
|
| MDR Report Key | 25895199 |
| Report Number | 3003152976-2026-00338 |
| Device Sequence Number | 9967122 |
| Product Code |
ONB
|
| UDI-Device Identifier | 00382905150609 |
| UDI-Public | (01)00382905150609(11)260312(17)280229(10)2603410 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | BE |
| PMA/510(K) Number | K181221 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Company Representative |
| Initial Reporter Occupation |
Pharmacist
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
08/31/2026 |
| 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 | 515060 |
| Device Lot Number | 2603410 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/19/2026 |
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/06/2026 |
| Supplement Date Received by Manufacturer | Not provided
|
| Initial Report FDA Received Date | 07/21/2026 |
| Supplement Report FDA Received Date | 08/31/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 03/12/2026 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|