MAUDE Adverse Event Report: BECTON DICKINSON BD CATHENA 24GX0.75IN WINGED BC; INTRAVASCULAR CATHETER

Catalog Number	386815
Medical Device Problem Code	Retraction Problem (1536)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	08/01/2024
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that bd cathena 24gx0.75in winged bc needle retraction failed.It was reported by the customer that unknown issue.Verbatim: rcc received a complaint via email.Email(s) attached.Please see below for angio picture from barrhead complaint.Unknown issue.Product number - 386815.Additional info: 1.I inserted iv, got flash of blood, tried to advance catheter into vein, but needle would not retract.I was able to wiggle it loose, and it did come off the plastic catheter eventually, but the needle came out exposed and not covered by the safety sheath.2.No.3.2 occurences that i am aware of.4.No sample available.I disposed of it in sharps container.
Additional Manufacturer Narrative
H.3.If a device evaluation and/or device history review is completed, a supplemental report will be filed.
Event or Problem Description
Material#: 386815, batch#: 3267040.It was reported by the customer that unknown issue.Verbatim: rcc received a complaint via email.Please see below for angio picture from barrhead complaint unknown issue: product number - 386815.Additional info: 1.I inserted iv, got flash of blood, tried to advance catheter into vein, but needle would not retract.I was able to wiggle it loose, and it did come off the plastic catheter eventually, but the needle came out exposed and not covered by the safety sheath.2.No.3.2 occurences that i am aware of.4.No sample available.I disposed of it in sharps container.
Additional Manufacturer Narrative
Our quality engineer inspected the photo submitted for evaluation.The reported issue of needle retraction failure was not confirmed upon inspection of the photo.Bd cannot confirm the cause of the failure to our manufacturing process since no physical sample was returned.We would be very interested in examining product that does not meet your expectations and our quality standards.Examination of the actual product involved may provide clarification as to the cause of the reported failure.A review of our risk management documentation was performed and indicates that the potential risk of the reported event was assessed appropriately.Production records were reviewed, and this batch meets our manufacturing specification requirements.

• Brand Name: BD CATHENA 24GX0.75IN WINGED BC
• Common Device Name: INTRAVASCULAR CATHETER
• Manufacturer (Section D): BECTON DICKINSON; 1 becton drive; franklin lakes NJ 07417
• Manufacturer (Section G): BECTON DICKINSON MEDICAL (SINGAPORE); 30 tuas avenue 2; singapore NJ 07417
• Manufacturer Contact: helen cox (mdr) ; 75 north fairway drive; vernon hills, IL 60061 ; 8473935694
• MDR Report Key: 20057562
• Report Number: 2243072-2024-00919
• Device Sequence Number: 15577361
• Product Code: FOZ
• UDI-Device Identifier: 00382903868155
• UDI-Public: (01)00382903868155(11)231004(17)260930(10)3267040
• Combination Product (Y/N): N
• Initial Reporter Country: CA
• PMA/510(K) Number: K220584
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 09/26/2024

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
• Operator of Device: Health Professional
• Device Expiration Date: 09/30/2026
• Device Catalogue Number: 386815
• Device Lot Number: 3267040
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 08/01/2024
• Supplement Date Received by Manufacturer: 09/26/2024
• Initial Report FDA Received Date: 08/23/2024
• Supplement Report FDA Received Date: 09/27/2024
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 10/04/2023
• Is the Device Labeled for Single Use? (Y/N): Yes
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown