FDA Adverse Event
Malfunction
Summary report: N
MCKESSON BRANDS
MDR report key: 23719643
·
Received December 4, 2025
Report
- Report Number
- 1451040-2025-00116
- Event Type
- Malfunction
- Date Received
- December 4, 2025
- Date of Event
- November 21, 2025
- Report Date
- December 4, 2025
- Manufacturer
- HARSORIA HEALTHCARE
- Product Code
- QOI
- UDI-DI
- 10612479267968
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED BY THE CUSTOMER THAT CATHETER APPEARS TO BE OCCLUDED CAUSING FORCE TO BE USED TO PUSH THE PLUNGER. THIS RESULTS IN LEAKAGE DUE TO THE PRESSURE USED. THE CUSTOMER ALSO REPORTED THAT THE NEEDLE DOESN'T RETRACT AFTER PUSHING THE BUTTON. NO INFORMATION WAS RECEIVED REGARDING ANY SERIOUS INJURY AS A RESULT OF THIS PRODUCT ISSUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 139816 | MCKESSON BRANDS | CATH, IV SFTY STR PUSH BUTTON BC PNK 20GX1" | QOI | HARSORIA HEALTHCARE | 40576-0360 | 10612479267968 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |