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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON AND COMPANY NEXIVA; CATHETER,INTRAVASCULAR,THERAPEUTIC,SHORT-TERM LESS THAN 30 DAYS

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BECTON, DICKINSON AND COMPANY NEXIVA; CATHETER,INTRAVASCULAR,THERAPEUTIC,SHORT-TERM LESS THAN 30 DAYS Back to Search Results
Model Number 383516, 383591
Patient Problems Failure of Implant (1924); Needle Stick/Puncture (2462)
Event Date 06/29/2023
Event Type  malfunction  
Event Description
During iv placement of 2 different size catheters and at least 2 different patients (#20 piv and #22 piv) the catheter would not advance after getting a flash.When the rn pulled the catheter out after the attempt the actual plastic catheter that typically sits within the vein was compromised/split.This was reported out as the daily safety huddle in the ed, no further details (i.E.Lot #s) can be obtained.Catheters were discarded.One instance was on a child, the other on an adult.A summary of the events were sent to the bd rep.Manufacturer response for peripheral iv set, nexiva (20 ga x 1in and 22 ga x1in) (per site reporter).Escalated events to mfg rep directly to discuss possible practice elements that could have contributed.This was ruled out.
 
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Brand Name
NEXIVA
Type of Device
CATHETER,INTRAVASCULAR,THERAPEUTIC,SHORT-TERM LESS THAN 30 DAYS
Manufacturer (Section D)
BECTON, DICKINSON AND COMPANY
1 becton dr
franklin lakes NJ 07417
MDR Report Key17497494
MDR Text Key320768841
Report Number17497494
Device Sequence Number1
Product Code FOZ
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source User Facility
Reporter Occupation Nurse
Type of Report Initial
Report Date 07/14/2023
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
Device Model Number383516, 383591
Device Catalogue Number383516, 383591
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? Yes
Date Report Sent to FDA07/14/2023
Event Location Hospital
Date Report to Manufacturer08/10/2023
Initial Date Manufacturer Received Not provided
Initial Date FDA Received08/10/2023
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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