FDA Adverse Event Malfunction Summary report: N

US CATHENA 20GX1.00IN STRAIGHT BC

MDR report key: 23521830 · Received November 11, 2025

Report

Report Number
2243072-2025-01374
Event Type
Malfunction
Date Received
November 11, 2025
Date of Event
October 24, 2025
Report Date
December 5, 2025
Manufacturer
BECTON DICKINSON
Product Code
FOZ
UDI-DI
00382903868629
PMA / PMN Number
K220584
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AS NO PHYSICAL OR PICTURE SAMPLE, OR VALID LOT NUMBER WAS PROVIDED FOR EVALUATION, BY OUR QUALITY ENGINEER TEAM, A COMPLETE INVESTIGATION COULD NOT BE PERFORMED. THERE ARE CURRENT QUALITY CONTROLS IN PLACE TO DETECT THIS TYPE OF PRODUCT MALFUNCTION DURING THE PRODUCTION PROCESS. BASED ON THE LIMITED INVESTIGATION RESULTS, A CAUSE FOR THE REPORTED INCIDENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative · 0

H.3. IF A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS COMPLETED, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

MATERIAL # UNKNOWN, 386862 LOT # UNKNOWN, 5081568. IT WAS REPORTED BY CUSTOMER THAT SAFETY MECHANISM ON CATHENA CATHETER FAILED TO WORK. SAFETY MECHANISM ON CATHENA CATHETER FAILED TO WORK LEAVING AN EXPOSED NEEDLE AND FAILURE TO USE THE IV CATHETER. HAPPENED ON 2 SEPARATE PATIENTS, SAME ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1963227 US CATHENA 20GX1.00IN STRAIGHT BC INTRAVASCULAR CATHETER FOZ BECTON DICKINSON UNKNOWN 00382903868629

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown