FDA Adverse Event
Malfunction
Summary report: N
18G BD INSYTE IV 1.16 IN LENGTH
MDR report key: 22052091
·
Received May 20, 2025
Report
- Report Number
- MW5170601
- Event Type
- Malfunction
- Date Received
- May 20, 2025
- Date of Event
- May 15, 2025
- Report Date
- May 16, 2025
- Manufacturer
- BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
- Product Code
- FOZ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- VT, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
AN 18 G BD INSYTE IV ONGOING CONCERNS. TWO (2) NEEDLESTICKS HAVE OCCURRED, ONE IN (B)(6) 2024 AND ONE IN (B)(6) 2025. THERE HAVE BEEN SEVERAL NEAR MISSES. A LOT 5010456 WAS RETURNED IN MARCH WITH THESE CONCERNS REPORTED TO BD. PICTURE OF LOT RETURNED INCLUDED BELOW. 5/15 ANOTHER NEAR MISS WAS REPORTED WITH LOT 5017998. SPEAKING WITH STAFF ON 5/15 AND 5/16 THEY HAVE HAD ONGOING DIFFICULTY ENGAGING SAFETY MECHANISM, NEEDLE SLOW TO RETRACT, GETTING STUCK HALFWAY IN CATHETER, OR NOT RETRACTING AT ALL. REF REPORT: MW5170602.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 78424 | 18G BD INSYTE IV 1.16 IN LENGTH | CATHETER, INTRAVASCULAR, THERAPEUTIC, SHORT-TERM LESS THAN 30 DAYS | FOZ | BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. | 382544 | 5017998 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |