FDA Adverse Event Malfunction Summary report: N

BD ANGIOCATH

MDR report key: 21951227 · Received May 2, 2025

Report

Report Number
9610048-2025-00060
Event Type
Malfunction
Date Received
May 2, 2025
Date of Event
April 10, 2025
Report Date
July 23, 2025
Manufacturer
BECTON DICKINSON INDUSTRIAS CIRURGICAS, LTDA.
Product Code
FOZ
UDI-DI
00382903811373
PMA / PMN Number
K151698
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED MATERIAL NUMBER 381137 AND LOT NUMBER 4222781. THE REVIEW DID NOT REVEAL ANY DETECTED ABNORMALITIES DURING THE PRODUCTION PROCESS THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT AND ALL QUALITY TESTS WERE FOUND TO BE WITHIN SPECIFICATION. AS NEITHER PHYSICAL SAMPLES NOR PICTURE SAMPLES WERE AVAILABLE FOR RETURN, A THOROUGH SAMPLE ANALYSIS COULD NOT BE COMPLETED. BASED ON THE INVESTIGATION RESULTS, AN EXACT CAUSE COULD NOT BE DETERMINED FOR THE REPORTED EVENT. IT IS POSSIBLE THAT THIS DEFECT RESULTED DURING MANUFACTURING, IF THE BELT GUARD IN THE CATHETER TRAY FEEDING AREA IS NOT PROPERLY CLEANED, THE TRAY MAY COME IN CONTACT WITH THE STAINLESS-STEEL GUARD AND COULD RESULT IN CONTAMINATION ON THE CATHETER. A CORRECTIVE AND PREVENTIVE ACTION PLAN HAS BEEN INITIATED TO FURTHER INVESTIGATE THIS ISSUE AND PREVENT ANY REOCCURRENCE. OUR QUALITY TEAM WILL CONTINUE TO CLOSELY MONITOR THE MANUFACTURING PROCESS FOR SIGNS OF THIS POTENTIAL DEFECT AND ANY EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD ANGIOCATH FOREIGN MATTER FOUND ON NEEDLE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: ON (B)(6) 2025, WHILE PREPARING A PATIENT FOR AN ARTERIAL PUNCTURE, THE NURSE UNSEALED THE INDWELLING NEEDLE AND FOUND MULTIPLE BLACK SPOTS IN THE NEEDLE, WHICH WERE REPLACED.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
208212 BD ANGIOCATH PERIPHERAL IV CATHETERS FOZ BECTON DICKINSON INDUSTRIAS CIRURGICAS, LTDA. 4222781 00382903811373

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown