| Brand Name | BD Luer-Lok |
| 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
|
|
+1(847)393-5694
|
|
| MDR Report Key | 50860022 |
| Report Number | 1213809-2026-00499 |
| Device Sequence Number | 9553598 |
| Product Code |
FMF
|
| UDI-Device Identifier | 00382903096282 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K941562 |
| 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) |
09/04/2026 |
| 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 |
Other
|
| Device Catalogue Number | 309628 |
| Device Lot Number | 6022248 |
| 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 | 09/02/2026 |
| Initial Report FDA Received Date | 09/22/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 01/22/2026 |
| 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 |