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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: EMBECTA MEDICAL I LLC - HOLDREGE, NE SYRINGE 0.3ML 31GA 6MM HALFUNIT 10BAG; Syringe, Piston

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EMBECTA MEDICAL I LLC - HOLDREGE, NE SYRINGE 0.3ML 31GA 6MM HALFUNIT 10BAG; Syringe, Piston Back to Search Results
Model Number 324910
Medical Device Problem Code Volume Accuracy Problem (1675)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
Consumer reported, the first line on the barrel is different between 3 syringes.Stated, he did use the syringes.Lot: 3268200 catalog: 324910 date of event: unknown samples: yes cl.
 
Additional Manufacturer Narrative
3 syringes were affected by this issue.
 
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Brand Name
SYRINGE 0.3ML 31GA 6MM HALFUNIT 10BAG
Common Device Name
Syringe, Piston
Manufacturer (Section D)
EMBECTA MEDICAL I LLC - HOLDREGE, NE
Manufacturer Contact
avital merl
300 kimball dr.
parsippany, NJ 07054
MDR Report Key50885599
Report Number3024508819-2026-00109
Device Sequence Number9799668
Product Code FMF
UDI-Device Identifier00382903249107
UDI-Public00382903249107
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K212499
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Consumer
Type of Report Initial
Report Date (Section B) 09/24/2026
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 Lay User/Patient
Device Model Number324910
Device Lot Number3268200
Was Device Available for Evaluation? Yes
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 04/12/2024
Initial Report FDA Received Date09/24/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/25/2023
Is the Device Labeled for Single Use? (Y/N) Yes
Patient Sequence Number1
Patient SexUnknown
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