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U.S. Department of Health and Human Services

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

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BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. NEXIVA; PERIPHERAL IV CATHETERS Back to Search Results
Catalog Number 383516
Medical Device Problem Code Leak/Splash (1354)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/09/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
G.4.K183399; k243403.B3.The date received by manufacturer has been used for this field.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 nexiva leaked at the septum.Iv inserted and ivf is leaking out of port that needle came out of customer response on 11-jun-2026.The events occurred on approximately (b)(6) 2026.At this time, there were no known patient injuries or lasting harm.However, the ivs were leaking either blood or iv fluids from the port after insertion, which required removal and placement of a new iv catheter for those patients.I have received the return label and can send catheters from this lot number if you would like them for evaluation.
 
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Brand Name
NEXIVA
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 Key25636238
Report Number1710034-2026-00724
Device Sequence Number9379403
Product Code FOZ
UDI-Device Identifier00382903835164
UDI-Public(01)00382903835164
Combination Product (Y/N)N
Initial Reporter StateMN
Initial Reporter CountryUS
PMA/510(K) Number
SEE H.11
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date (Section B) 07/09/2026
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 Number383516
Device Lot Number6044980
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/09/2026
Supplement Date Received by Manufacturer07/09/2026
Initial Report FDA Received Date06/26/2026
Supplement Report FDA Received Date07/09/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/13/2026
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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