| Brand Name | BD Eclipse SmartSlip |
| Common Device Name | Needle, hypodermic, single lumen |
| Manufacturer (Section D) |
| BECTON DICKINSON, S.A. |
| cr mequinenza |
| s/n |
| fraga, huesca 22520 |
| SP 22520 |
|
| 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
|
|
+1(847)393-5694
|
|
| MDR Report Key | 50743251 |
| Report Number | 3002682307-2026-00185 |
| Device Sequence Number | 10366973 |
| Product Code |
FMI
|
| UDI-Device Identifier | 00382903057702 |
| UDI-Public | (01)00382903057702(11)241226(17)291130(10)2412020 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | AS |
| PMA/510(K) Number | K100209 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/01/2026 |
| 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 | 305770 |
| Device Lot Number | 2412020 |
| 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 | 08/27/2026 |
| Initial Report FDA Received Date | 09/11/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 12/26/2024 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|