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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BD MEDICAL, MEDICATION DELIVERY SOLUTIONS BD VENFLON CATHETER; INTRAVASCULAR CATHETER

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BD MEDICAL, MEDICATION DELIVERY SOLUTIONS BD VENFLON CATHETER; INTRAVASCULAR CATHETER Back to Search Results
Catalog Number 391593
Device Problem Device Contamination with Chemical or Other Material (2944)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/22/2024
Event Type  malfunction  
Manufacturer Narrative
H.3.If a device evaluation and/or device history review is completed, a supplemental report will be filed.
 
Event Description
It was reported that bd venflon catheter had foreign matter on it the following information was received by the initial reporter with the following verbatim when the nurse took out the bd venflon i 18g cannula from the package, she found liquid droplets inside the catheter lumen upon removal of the needle (stylet).This happened while checking the stylet before insertion of the cannula to the patient's arm.
 
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Brand Name
BD VENFLON CATHETER
Type of Device
INTRAVASCULAR CATHETER
Manufacturer (Section D)
BD MEDICAL, MEDICATION DELIVERY SOLUTIONS
1 becton drive
franklin lakes NJ 07417
Manufacturer (Section G)
BD MEDICAL, MEDICATION DELIVERY SOLUTIONS
1 becton drive
franklin lakes NJ 07417
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key19117845
MDR Text Key341038030
Report Number2243072-2024-00552
Device Sequence Number1
Product Code FOZ
Combination Product (y/n)N
Reporter Country CodeIN
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Consumer
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 04/01/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/16/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number391593
Device Lot Number3335319
Is the Reporter a Health Professional? Yes
Date Manufacturer Received03/22/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
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