FDA Adverse Event
Malfunction
Summary report: N
18G BD INSYTE IV 1.16 IN LENGTH
MDR report key: 22052110
·
Received May 20, 2025
Report
- Report Number
- MW5170602
- 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. (B)(6) ANOTHER NEAR MISS WAS REPORTED WITH LOT 5017998. SPEAKING WITH STAFF ON (B)(6) 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: MW5170601.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 78425 | 18G BD INSYTE IV 1.16 IN LENGTH | CATHETER, INTRAVASCULAR, THERAPEUTIC, SHORT-TERM LESS THAN 30 DAYS | FOZ | BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. | 5010456 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |