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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. BD IAG BC PRO GLOBAL; PERIPHERAL IV CATHETERS

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BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. BD IAG BC PRO GLOBAL; PERIPHERAL IV CATHETERS Back to Search Results
Catalog Number 381012
Medical Device Problem Code Retraction Problem (1536)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/10/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
H.3.A follow up mdr will be submitted if additional information, a device evaluation, or a device history review is completed.
 
Event or Problem Description
It was reported that bd iag bc pro global needle retracted prematurely the following information was provided by the initial reporter: white retraction button not retracting appropriately.Iv attempted x 2 on patient and the needle retracted without nurse pushing the button.Both sites were lost on patient because it retracted too soon.(b)(6) 2025, 1 patient but happened twice in a row.
 
Event or Problem Description
No additional information.
 
Additional Manufacturer Narrative
A device history record review was completed by our quality engineer team for provided material number 381012 and lot number 5045784.The review did not reveal any detected abnormalities during the production process that could have contributed to the reported issue, and all quality tests were found to be within specification.As a sample was unavailable for return, a thorough sample investigation could not be completed.Based on the investigation results, an exact cause for this incident could not be identified.
 
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Brand Name
BD IAG BC PRO GLOBAL
Common Device Name
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 Key22374178
Report Number1710034-2025-01112
Device Sequence Number19949077
Product Code FOZ
UDI-Device Identifier00382903810123
UDI-Public(01)00382903810123
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
NA
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,User Facility
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 07/08/2025
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 Catalogue Number381012
Device Lot Number5045784
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/13/2025
Supplement Date Received by Manufacturer07/08/2025
Initial Report FDA Received Date07/01/2025
Supplement Report FDA Received Date07/09/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/19/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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