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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. BD NEXIVA¿ CLOSED IV CATHETER SYSTEM; INTRAVASCULAR CATHETER

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BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. BD NEXIVA¿ CLOSED IV CATHETER SYSTEM; INTRAVASCULAR CATHETER Back to Search Results
Model Number 383539
Device Problem Material Protrusion/Extrusion (2979)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 06/17/2022
Event Type  malfunction  
Manufacturer Narrative
A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
 
Event Description
It was reported by the customer that during use of the bd nexiva¿ closed iv catheter system upon examining the catheters it appeared "that there is a very little piece of extra plastic sticking out of the tip of the catheter.Verbatim: "we are experiencing resistance in puncturing the skin ¿ feels like trying to puncture leather.I thought that perhaps it was due to patient¿s skin thickness, but i had the same problems starting iv¿s using the catheters from the same lot.Other nurses in day surgery are experiencing the same thing.I did examine the catheters and it appears that there is a very little piece of extra plastic sticking out of the tip of the catheter.".
 
Manufacturer Narrative
Investigation summary since no samples displaying the condition reported were available for examination, we were unable to fully investigate this incident.A device history record review showed no non-conformances associated with this issue during the production of this batch.
 
Event Description
It was reported by the customer that during use of the bd nexiva¿ closed iv catheter system upon examining the catheters it appeared "that there is a very little piece of extra plastic sticking out of the tip of the catheter.Verbatim: "we are experiencing resistance in puncturing the skin ¿ feels like trying to puncture leather.I thought that perhaps it was due to patient¿s skin thickness, but i had the same problems starting iv¿s using the catheters from the same lot.Other nurses in day surgery are experiencing the same thing.I did examine the catheters and it appears that there is a very little piece of extra plastic sticking out of the tip of the catheter.".
 
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Brand Name
BD NEXIVA¿ CLOSED IV CATHETER SYSTEM
Type of Device
INTRAVASCULAR CATHETER
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
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key15035062
MDR Text Key296153626
Report Number1710034-2022-00371
Device Sequence Number1
Product Code FOZ
UDI-Device Identifier30382903835394
UDI-Public30382903835394
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K102520
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 08/22/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/15/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Model Number383539
Device Catalogue Number383539
Device Lot Number2005335
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received08/22/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured01/05/2022
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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