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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD, INC. (BASD) -3006260740 SAFESTEP; PORT ACCESS NEEDLE

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C.R. BARD, INC. (BASD) -3006260740 SAFESTEP; PORT ACCESS NEEDLE Back to Search Results
Model Number N/A
Medical Device Problem Codes Product Quality Problem (1506); Material Twisted/Bent (2981)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/15/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported 19 g needle (0.75 in) was inserted for transfusion of prbc.Brisk blood returned noted and patient denied no discomfort.Patient tolerated transfusion well.Writer was unable to retract port-a-cath needle at the end of transfusion.Flushed well with no concerns.No success after changing position.Port-a-cath needle removed as is after different attempts from 4 different nurses.Patient denied discomfort.Prolonged patient care, but no serious harm reported.
 
Additional Manufacturer Narrative
H11: section a through f - the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.The manufacturer has received the sample and will be evaluated.A supplemental will be submitted with evaluation results.
 
Additional Manufacturer Narrative
H11: section a through f - the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.The complaint of bent needle was confirmed and the cause was determined to be use related.The product returned for evaluation was a 19 ga x 0.75 in safestep infusion set.The returned product sample was evaluated and the needle was observed to be bent near its base.The following observations were noted during the sample evaluation: ¿ usage residue was seen on the sample which proved that the product had experienced at least some use.¿ the needle tip was barbed suggesting contact between the needle and port base.An attempt to advance the safety over the needle tip was unsuccessful as the safety could not pass the bent region of the needle.Force applied at an angle to the needle axis, or if the needle is not inserted perpendicular into the port septum, can lead to bending of the needle shaft.It is advised to verify that the needle length is correct based on port reservoir depth, tissue thickness and the thickness of any dressing beneath the bend of the needle; if too long, needle and/or port may be damaged at insertion.Additionally, avoid excessive manipulation once the needle is in the port.No potential damage related to the manufacturing process was noted on the complaint sample.This complaint will be recorded for future trending and monitoring purposes.
 
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Brand Name
SAFESTEP
Common Device Name
PORT ACCESS NEEDLE
Manufacturer (Section D)
C.R. BARD, INC. (BASD) -3006260740
605 north 5600 west
salt lake city 84116
Manufacturer (Section G)
C.R. BARD, INC. (BASD) -3006260740
605 north 5600 west
salt lake city 84116
Manufacturer Contact
becky sparks
605 north 5600 west
salt lake city 84116
8015950700
MDR Report Key24251879
Report Number3006260740-2026-00445
Device Sequence Number8346634
Product Code FPA
UDI-Device Identifier00801741066252
UDI-Public(01)00801741066252(11)241022(17)271022(10)ASJXFC109
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K040527
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 03/18/2026
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 Model NumberN/A
Device Catalogue NumberLH-0033YN
Device Lot NumberASJXFC109
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/02/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/19/2026
Supplement Date Received by Manufacturer03/18/2026
Initial Report FDA Received Date02/03/2026
Supplement Report FDA Received Date03/26/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/22/2024
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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