FDA Adverse Event Malfunction Summary report: N

BD NEXIVA, BD Q-SYTE

MDR report key: 21262964 · Received January 29, 2025

Report

Report Number
21262964
Event Type
Malfunction
Date Received
January 29, 2025
Date of Event
January 21, 2025
Report Date
January 23, 2025
Manufacturer
BECTON, DICKINSON AND COMPANY
Product Code
FOZ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
UT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

REGISTERED NURSE (RN) WENT TO PLACE PIV WITH NEXIVA 24 G. X 0.75 IN. PERIPHERAL INTRAVENOUS (PIV) WAS SUCCESSFULLY PLACED, BUT WHEN RN WENT TO FLUSH THE LINE, THE "PIGTAIL" WAS LEAKING "EVERYWHERE". RN REMOVED THE PIV AND SUCCESSFULLY RESTARTED NEW PIV.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1995054 BD NEXIVA, BD Q-SYTE CATHETER,INTRAVASCULAR,THERAPEUTIC,SHORT-TERM LESS THAN 30 DAYS FOZ BECTON, DICKINSON AND COMPANY 383531 4330298

Patients

Seq Age Sex Outcome Treatment
1 56 YR Female