BEUDAMED
    FDA Adverse Event Other Summary report: N

    BD INSYTE AUTOGUARD SHIELDED IV CATHETER

    MDR report key: 17780486 · Received September 20, 2023

    Report

    Report Number
    17780486
    Event Type
    Other
    Date Received
    September 20, 2023
    Date of Event
    August 15, 2023
    Report Date
    August 23, 2023
    Manufacturer
    BECTON, DICKINSON AND COMPANY
    Product Code
    FOZ
    Report Source
    User Facility report
    Reporter Location
    CA
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    INSERTED 22# PIV. UNABLE TO RETRACT NEEDLE OR ADVANCE CATHETER OFF OF NEEDLE. HAD TO TAKE ENTIRE IV OUT. UPON REMOVAL, ATTEMPTED AGAIN TO RETRACT NEEDLE AND NEEDLE WOULD NOT RETRACT. PUT ENTIRE UNIT INTO SHARPS BIN. BD INSYTE AUTOGUARD BV, 22GA X 1.00IN, LOT#3075853, EXP: 2026-02-28.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    84482 BD INSYTE AUTOGUARD SHIELDED IV CATHETER CATHETER, INTRAVASCULAR, THERAPEUTIC, SHORT-TERM LESS THAN 30 DAYS FOZ BECTON, DICKINSON AND COMPANY 3075853

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown