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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON UNSPECIFIED BD CATHENA¿ CATHETER; INTRAVASCULAR CATHETER

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BECTON DICKINSON UNSPECIFIED BD CATHENA¿ CATHETER; INTRAVASCULAR CATHETER Back to Search Results
Catalog Number UNKNOWN
Device Problem Defective Device (2588)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/19/2022
Event Type  malfunction  
Manufacturer Narrative
Unknown manufacturer: there are multiple bd locations where this unspecified bd device may have been manufactured.A catalog and lot number could not be confirmed for this incident and without this information we are unable to determine where the device was manufactured.(b)(4).Medical device expiration date: unknown.A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.Device manufacture date: unknown.
 
Event Description
It was reported that during use of the unspecified bd cathena¿ catheter, the catheter material had been blown the following information was provided by the initial reporter: when nurse tried to advance the catheter she noticed she had blown through the vein.She then removed the catheter and needle from the patient to realize the catheter material had been blown as well.My initial guess was that the nurse tried to re-thread the catheter but after speaking with her she said this was not the case.
 
Event Description
It was reported that during use of the unspecified bd cathena¿ catheter, the catheter material had been blown the following information was provided by the initial reporter: when nurse tried to advance the catheter she noticed she had blown through the vein.She then removed the catheter and needle from the patient to realize the catheter material had been blown as well.My initial guess was that the nurse tried to re-thread the catheter but after speaking with her she said this was not the case.
 
Manufacturer Narrative
Investigation summary: two photos were received by our quality team for evaluation.From the photos, the team observed the needle pierced through the catheter.A device history record could not be evaluated as the lot number is unknown.As no sample was returned for further investigation, a root cause could not be established.This incident has been added to our database of reported incidents.
 
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Brand Name
UNSPECIFIED BD CATHENA¿ CATHETER
Type of Device
INTRAVASCULAR 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
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key15210642
MDR Text Key304888217
Report Number2243072-2022-01318
Device Sequence Number1
Product Code FOZ
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
UNKNOWN
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 08/26/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/11/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNKNOWN
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received08/26/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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