FDA Adverse Event Other Summary report: N

BD NEXIVA CLOSED IV ACCESS SYSTEM

MDR report key: 1002947 · Received February 6, 2008

Report

Report Number
9610847-2008-00010
Event Type
Other
Date Received
February 6, 2008
Report Date
January 9, 2008
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS
Product Code
FOZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLE IS BEING RETURNED FOR THE INVESTIGATION. ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

CYTOSTATICS WERE BEING INFUSED THROUGH THE CATHETER AND LEAKED THROUGH THE SEPTUM WHICH COULD CAUSE HARM TO THE PATIENT AND THE NURSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BD NEXIVA CLOSED IV ACCESS SYSTEM INTRAVASCULAR CATHETER FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS NA 7142266

Patients

Seq Age Sex Outcome Treatment
1 UNK Other CYTOSTATICS