| Brand Name | BD Eclipse |
| Common Device Name | Needle, Hypodermic, single lumen |
| Manufacturer (Section D) |
| BECTON DICKINSON IND. CIRURGICAS LTDA |
| 550 rua cyro correia pereira |
| curitiba 81460 |
| BR 81460 |
|
| Manufacturer (Section G) |
| BECTON DICKINSON IND. CIRURGICAS LTDA |
| 550 rua cyro correia pereira |
|
| curitiba 81460 |
|
BR
81460
|
|
| Manufacturer Contact |
|
helen
cox (mdr)
|
| 75 north fairway drive |
| vernon hills, IL 60061
|
|
+1(847)393-5694
|
|
| MDR Report Key | 50349398 |
| Report Number | 3003916417-2026-00126 |
| Device Sequence Number | 20343413 |
| Product Code |
FMI
|
| UDI-Device Identifier | 00382903057122 |
| UDI-Public | (01)00382903057122 |
| Combination Product (Y/N) | N |
| Initial Reporter State | WV |
| Initial Reporter Country | US |
| PMA/510(K) Number | K161170 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Pharmacist
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/14/2026 |
| 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 | 305712 |
| Device Lot Number | 5323592 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | Not provided |
| Supplement Date Received by Manufacturer | 09/14/2026
|
| Initial Report FDA Received Date | 08/20/2026 |
| Supplement Report FDA Received Date | 09/21/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 11/19/2025 |
| 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 |
|
|