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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. BD NEXIVA; PERIPHERAL IV CATHETERS

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BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. BD NEXIVA; PERIPHERAL IV CATHETERS Back to Search Results
Catalog Number 383537
Device Problem Separation Problem (4043)
Patient Problems Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/12/2024
Event Type  malfunction  
Event Description
It was reported that bd nexiva needle disengagement is difficult.The following information was provided by the initial reporter translated from dutch to english: when we puncture and we remove the needle, sometimes blood leaks during blood collection from the gray eraser along which the needle is removed (see photo).The needle sometimes sticks to the eraser and so we don't get it completely removed.When injecting, the fluid or medication also gets past the eraser.As a result, patient had to be re-pricked to have safe medication access and avoid infection risk.Can this be included with bd supplying these catheters? so, should we not use this alternative anyway or should we stand by and list how frequently it occurs? or have there been any reports? these three problems occurred at many intervals (one as recently as december, one a week ago, one today) but it may also have often gone unreported or gotten to us.When we puncture and we remove the needle, sometimes blood leaks during blood collection from the gray eraser along which the needle is removed (see photo).The needle sometimes sticks to the eraser and so we don't get it completely removed.When injecting, the fluid or medication also gets past the eraser.
 
Manufacturer Narrative
H.3.A follow up mdr will be submitted if additional information, a device evaluation, or a device history review is completed.3 total occurrences for this failure described.1 with known event date and and patient outcome information.Two without known event date and no patient outcome information provided.
 
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Brand Name
BD NEXIVA
Type of Device
PERIPHERAL IV CATHETERS
Manufacturer (Section D)
BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
9450 south state street
sandy UT 84070
Manufacturer (Section G)
BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
9450 south state street
sandy UT 84070
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key18826785
MDR Text Key337702169
Report Number1710034-2024-00154
Device Sequence Number1
Product Code FOZ
UDI-Device Identifier30382903835370
UDI-Public(01)30382903835370
Combination Product (y/n)N
Reporter Country CodeBE
PMA/PMN Number
K102520
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 02/26/2024
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 Operator Health Professional
Device Catalogue Number383537
Device Lot NumberUNKNOWN
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 02/12/2024
Initial Date FDA Received03/04/2024
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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