FDA Adverse Event Malfunction Summary report: N

BD INSYTE AUTOGUARD

MDR report key: 21327739 · Received February 6, 2025

Report

Report Number
1710034-2025-00146
Event Type
Malfunction
Date Received
February 6, 2025
Date of Event
January 21, 2025
Report Date
June 16, 2025
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
Product Code
FOZ
UDI-DI
00382903814336
PMA / PMN Number
K201075
Removal / Correction Number
MDS-25-5274
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION OF FA#.

Additional Manufacturer Narrative · 0

H.3. A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED.

Additional Manufacturer Narrative · 0

INVESTIGATION RESULTS: A DEVICE HISTORY RECORD REVIEW WAS COMPLETED BY OUR QUALITY ENGINEER TEAM FOR PROVIDED MATERIAL NUMBER 381433 AND LOT NUMBER 4290664. THE REVIEW DID NOT REVEAL ANY DETECTED ABNORMALITIES DURING THE PRODUCTION PROCESS THAT COULD HAVE CONTRIBUTED TO THIS DEFECT AND ALL QUALITY TESTS WERE FOUND TO BE WITHIN SPECIFICATION. AS A SAMPLE WAS UNAVAILABLE FOR RETURN, A THOROUGH SAMPLE INVESTIGATION COULD NOT BE COMPLETED. BASED ON THE INVESTIGATION RESULTS, AN EXACT CAUSE FOR THIS INCIDENT COULD NOT BE IDENTIFIED.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD INSYTE AUTOGUARD NEEDLE DID NOT RETRACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: 20G X 1" IV CATHETER IS NOT SAFETYING WHEN PUSHING THE BUTTON. "WE HAVE HAD SEVERAL INCIDENTS OVER THE LAST FEW WEEKS WHERE THE NEEDLE IS NOT DISENGAGING WHEN WE PRESS THE BUTTON ON THESE CATHETERS. THIS IS A HUGE SAFETY ISSUE. "

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1247174 BD INSYTE AUTOGUARD PERIPHERAL IV CATHETERS FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. 4290664 00382903814336

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown