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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON AND CO. PosiFlush XS/SF; Saline vascular access flush

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BECTON, DICKINSON AND CO. PosiFlush XS/SF; Saline vascular access flush Back to Search Results
Catalog Number 306553
Medical Device Problem Codes Tear, Rip or Hole in Device Packaging (2385); Packaging Problem (3007)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/11/2026
Type of Reportable Event Malfunction
Event or Problem Description
No additional information.
 
Additional Manufacturer Narrative
A device history record review was completed for provided material number 306553 and lot number 5273105.The review did not identify any possible non-conformances during the production process that could have contributed to this reported incident.To aid in the investigation of this issue, four (4) picture samples were received for evaluation by our quality team.With the picture samples alone, we were not able to reproduce the reported issue and unable to identify an exact cause.If the physical samples become available, additional investigation findings may be possible.Through examination of the pictures, the perforations appear to be normal, although this is based on the limited visibility as the syringes have already been separated.It is possible that an incorrect method of separation caused the package damage observed.It is recommended that the blister packages are separated on a horizontal plane.At this time, further action has not been determined necessary.This is the first report received for this type of issue on material 306553 and lot 5273105.Our quality team will continue to closely monitor the manufacturing process for signs of this potential defect and any emerging trends.
 
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Brand Name
PosiFlush XS/SF
Common Device Name
Saline vascular access flush
Manufacturer (Section D)
BECTON, DICKINSON AND CO.
donore road
drogheda
Manufacturer (Section G)
BECTON, DICKINSON AND CO.
donore road
drogheda
Manufacturer Contact
helen cox (mdr)
75 north fairway drive
vernon hills, IL 60061
+1(847)393-5694
MDR Report Key50458134
Report Number9616657-2026-00010
Device Sequence Number9898019
Product Code NGT
UDI-Device Identifier00382903065530
UDI-Public(01)00382903065530(17)280930(10)5273105
Combination Product (Y/N)N
Initial Reporter StatePA
Initial Reporter CountryUS
PMA/510(K) Number
K153481
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Nurse
Type of Report Initial,Followup
Report Date (Section B) 08/27/2026
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 Number306553
Device Lot Number5273105
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/12/2026
Supplement Date Received by Manufacturer08/27/2026
Initial Report FDA Received Date08/26/2026
Supplement Report FDA Received Date08/27/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/30/2025
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 Number1
Patient SexUnknown
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