FDA Adverse Event Malfunction Summary report: N

US CATHENA 20GX1.00IN STRAIGHT BC

MDR report key: 23523188 · Received November 11, 2025

Report

Report Number
2243072-2025-01373
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. . VERBATIM: 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
2525179 US CATHENA 20GX1.00IN STRAIGHT BC INTRAVASCULAR CATHETER FOZ BECTON DICKINSON 5081568 00382903868629

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown