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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. INSYTE AUTOGUARD; PERIPHERAL IV CATHETERS

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BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. INSYTE AUTOGUARD; PERIPHERAL IV CATHETERS Back to Search Results
Catalog Number 381044
Medical Device Problem Code Retraction Problem (1536)
Health Effect - Clinical Codes Hematoma (1884); Perforation of Vessels (2135)
Date of Event 03/12/2026
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 is reported that needle does not retract."safety issue with insyte autoguard bc pro 18 ga × 1.16 in catheters.The canula, which is normally self-retracting, is having great difficulty retracting.This malfunction is becoming increasingly dangerous, as it entails a risk of aes when the canula is withdrawn.It sometimes causes veins to rupture, resulting in haematomas.".
 
Additional Manufacturer Narrative
Investigation summary: a device history record review was completed by our quality engineer team for provided material number 381044 and lot number 5118145.The review did not reveal any detected abnormalities during the production process that could have contributed to this defect, 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.There are quality controls currently in place to detect this type of defect during the production process.Further action has not been determined necessary at this time.Complaints received for this device and reported condition will continue to be tracked and trended.
 
Event or Problem Description
No additional information.
 
Additional Manufacturer Narrative
Investigation summary with updated information: since no samples displaying the condition reported were available for examination, we were unable to fully investigate this incident.However, the reported defect of needle retraction slow is confirmed since a trend has been identified for the reported failure mode and corrective actions have been initiated to investigate this type of incident and identify the root cause.Examination of the actual product involved may provide clarification as to the cause for the reported failure.A device history record review showed no non-conformances associated with this issue during the production of this batch.Complaints received for this device and reported condition will continue to be tracked and trended.
 
Event or Problem Description
No additional information.
 
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Brand Name
INSYTE AUTOGUARD
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 Key24801788
Report Number1710034-2026-00381
Device Sequence Number15938611
Product Code FOZ
UDI-Device Identifier00382903810444
UDI-Public(01)00382903810444(11)250430(17)280331(10)5118145
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
K251654
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,User Facility,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup,Followup
Report Date (Section B) 05/05/2026
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 Catalogue Number381044
Device Lot Number5118145
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/24/2026
Supplement Date Received by Manufacturer04/22/2026
05/05/2026
Initial Report FDA Received Date04/07/2026
Supplement Report FDA Received Date04/23/2026
05/05/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/30/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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