FDA Adverse Event
Other
Summary report: N
BD NEXIVA CLOSED IV ACCESS SYSTEM
MDR report key: 1023717
·
Received April 2, 2008
Report
- Report Number
- 1710034-2008-00039
- Event Type
- Other
- Date Received
- April 2, 2008
- Date of Event
- March 10, 2008
- Report Date
- March 20, 2008
- Manufacturer
- BECTON DICKINSON INFUSION THERAPY SYSTEMS
- Product Code
- FOZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
ADD'L INFO WAS REQUESTED FROM THE CUSTOMER, HOWEVER, NO INFO WAS AVAILABLE. THE SAMPLE WAS DISCARDED BY THE HOSPITAL. UPON COMPLETION OF THE NO SAMPLE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. DATE SUBMITTED: 04/01/2008.
Description of Event or Problem · 1
THE NURSE SAID THE BD NEXIVA TUBING SEPARATED FROM THE SECUREMENT PLATFORM. THE CATHETER SECUREMENT ASSEMBLY REMAINED IN THE PT.
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 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |