POSIFLUSH
Report
- Report Number
- 1911916-2025-00715
- Event Type
- Malfunction
- Date Received
- November 3, 2025
- Date of Event
- October 10, 2025
- Report Date
- November 7, 2025
- Manufacturer
- BD MEDICAL (BD WEST) MEDICAL SURGICAL
- Product Code
- FOZ
- UDI-DI
- 00382903065462
- PMA / PMN Number
- K003553
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
(B)(4) FOLLOW UP REPORT FOR CORRECTION. THIS COMPLAINT WAS FOUND TO BE A DUPLICATE AFTER THE MDR WAS SUBMITTED, PLEASE REFER TO MDR 13312419.
H.3. IF A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS COMPLETED, A SUPPLEMENTAL REPORT WILL BE FILED.
(B)(4) IS A DUPLICATE COMPLAINT AND WILL BE CANCELLED.
IT WAS REPORTED THAT THE BD SYRINGE 10ML REG PR SALINE 10ML FILL HAD FOREIGN MATTER. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: MATERIAL#: 306546. BATCH#: 5111174. VERBATIM: RCC RECEIVED A COMPLAINT VIA WEB. PIR ATTACHED. WE OBSERVED VISIBLE PARTICULATES AFTER EXPRESSING A BD POSIFLUSH 0.9% SODIUM CHLORIDE INJECTION, USP, 10 ML SYRINGE FROM LOT 5111174 INTO A SINK. FACILITY PRODUCT DETAILS: LOT: 5111174 / EXP: 2028-03-31. REF: (B)(4). QUANTITY ON HAND: APPROXIMATELY 14 CASES (ALL QUARANTINED). FIRST OBSERVED: 2025-10-08, AFTERNOON. NO PATIENT WAS INJECTED; OCCURRENCE IDENTIFIED DURING PREP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 219671 | POSIFLUSH | PERIPHERAL IV CATHETERS | FOZ | BD MEDICAL (BD WEST) MEDICAL SURGICAL | 5111174 | 00382903065462 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |