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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON MEDICAL (SINGAPORE) CATHENA; INTRAVASCULAR CATHETER

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BECTON DICKINSON MEDICAL (SINGAPORE) CATHENA; INTRAVASCULAR CATHETER Back to Search Results
Catalog Number 386884
Medical Device Problem Codes Fluid/Blood Leak (1250); Leak/Splash (1354); Nonstandard Device (1420)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/03/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported by a customer that the ivs where the valve failed, resulting in blood flowing onto the patient, nurse and floor.Verbatim: complaint via email.Email(s) attached.I just wanted to email and let you know we have had more ivs where the valve failed, resulting in blood flowing onto the patient, nurse and floor.This has already happened twice this week with two different nurses.One was a 20g and the other was an 18g.I recovered the 18g package.Lot number 5170365.Here is a pir for xxxxxxx.I do not have the affected product but do have one lot number.Both instances the valve for blood control failed.
 
Additional Manufacturer Narrative
H.3.If a device evaluation and/or device history review is completed, a supplemental report will be filed.
 
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Brand Name
CATHENA
Common Device Name
INTRAVASCULAR CATHETER
Manufacturer (Section D)
BECTON DICKINSON MEDICAL (SINGAPORE)
30 tuas avenue 2
singapore
Manufacturer (Section G)
BECTON DICKINSON MEDICAL (SINGAPORE)
30 tuas avenue 2
singapore
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
8473935694
MDR Report Key25523296
Report Number8041187-2026-00032
Device Sequence Number10607051
Product Code FOZ
UDI-Device Identifier00382903868841
UDI-Public(01)00382903868841
Combination Product (Y/N)N
Initial Reporter StateAR
Initial Reporter CountryUS
PMA/510(K) Number
K220584
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) 06/29/2026
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 Number386884
Device Lot NumberUNKNOWN
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 06/03/2026
Supplement Date Received by Manufacturer06/29/2026
Initial Report FDA Received Date06/16/2026
Supplement Report FDA Received Date06/29/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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