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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON CATHENA; INTRAVASCULAR CATHETER

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BECTON DICKINSON CATHENA; INTRAVASCULAR CATHETER Back to Search Results
Catalog Number 386881
Medical Device Problem Code Activation Problem (4042)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/28/2026
Type of Reportable Event Malfunction
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
It was reported by customer that ""cathena safety mechanism did not engage.Leaving the needle exposed"" verbatim: cathena safety mechanism did not engage.Leaving the needle exposed".
 
Additional Manufacturer Narrative
Our quality engineer inspected the video submitted for evaluation.The reported issue safety shield activation failure was confirmed upon inspection of the video.During the handling process, it was noted that the user did not firmly re-seat the adapter into the tip shield.As a result, the tip shield remained disengaged from the needle hub, causing the catheter unit to separate from the cannula.The probable cause for the defect is attributed to improper handling.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.
 
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Brand Name
CATHENA
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 Key25150370
Report Number2243072-2026-00365
Device Sequence Number9397149
Product Code FOZ
UDI-Device Identifier00382903868810
UDI-Public(01)00382903868810(17)290131(10)6033596
Combination Product (Y/N)N
Initial Reporter StateNJ
Initial Reporter CountryUS
PMA/510(K) Number
K220584
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 05/22/2026
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 Number386881
Device Lot Number6033596
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/28/2026
Supplement Date Received by Manufacturer05/22/2026
Initial Report FDA Received Date05/12/2026
Supplement Report FDA Received Date05/26/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/02/2026
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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