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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON BD VENFLON¿ IV CANNULA INTRAVASCULAR CATHETER

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BECTON DICKINSON BD VENFLON¿ IV CANNULA INTRAVASCULAR CATHETER Back to Search Results
Catalog Number 391451
Device Problem Leak/Splash (1354)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 06/21/2022
Event Type  malfunction  
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Brand NameBD VENFLON¿ IV CANNULA
Type of DeviceINTRAVASCULAR CATHETER
Manufacturer (Section D)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
Manufacturer (Section G)
BECTON DICKINSON
1 becton drive
franklin lakes NJ 07417
Manufacturer Contact
karly sambets
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key15080722
Report Number2243072-2022-00990
Device Sequence Number1
Product Code FOZ
Combination Product (y/n)N
Reporter Country CodeIS
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 07/11/2022
1 Device was Involved in the Event
0 Patients were Involved in the Event:
Date FDA Received07/21/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator
Device Catalogue Number391451
Device Lot Number1183775
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/02/2022
Is the Reporter a Health Professional? Yes
Date Manufacturer Received06/21/2022
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/02/2021
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial

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