US CATHENA 20GX1.00IN STRAIGHT BC
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
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.
H.3. IF A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS COMPLETED, A SUPPLEMENTAL REPORT WILL BE FILED.
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 |