| Brand Name | POSIFLUSH |
| Common Device Name | Saline vascular access flush |
| Manufacturer (Section D) |
| BECTON, DICKINSON AND CO. |
| donore road |
| drogheda |
|
| Manufacturer (Section G) |
| BECTON, DICKINSON AND CO. |
| 10865 road to the cure |
| suite no. 210 |
| san diego CA 92121 |
|
| Manufacturer Contact |
|
helen
cox (mdr)
|
| 75 north fairway drive |
| vernon hills, IL 60061
|
|
+1(847)393-5694
|
|
| MDR Report Key | 50311075 |
| Report Number | 9616657-2026-00009 |
| Device Sequence Number | 12954493 |
| Product Code |
NGT
|
| UDI-Device Identifier | 00382903065530 |
| UDI-Public | (01)00382903065530(10)5251460 |
| Combination Product (Y/N) | N |
| Initial Reporter State | VA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K153481 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Distributor |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/15/2026 |
| 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 Number | 306553 |
| Device Lot Number | 5251460 |
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/06/2026 |
| Supplement Date Received by Manufacturer | 09/15/2026
|
| Initial Report FDA Received Date | 08/18/2026 |
| Supplement Report FDA Received Date | 09/23/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 09/08/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|