FDA Adverse Event Injury Summary report: N

BD CONNECTA PLUS3 WHITE

MDR report key: 23996360 · Received January 7, 2026

Report

Report Number
9610847-2025-00490
Event Type
Injury
Date Received
January 7, 2026
Date of Event
October 4, 2025
Report Date
January 11, 2026
Manufacturer
BD INFUSION THERAPY SYSTEMS INC. S.A. DE C.V.
Product Code
FOZ
PMA / PMN Number
UNK
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

INVESTIGATION RESULTS: THE REPORTED DEFECT COULD NOT BE REFUTED NOR CONFIRMED IN THE ABSENCE OF A SAMPLE. THE ROOT CAUSE CANNOT BE DETERMINED FOR AN UNCONFIRMED DEFECT. A COMPLAINT HISTORY (CHR) REVIEW COULD NOT BE PERFORMED AS NO BATCH/LOT NUMBER WAS MADE AVAILABLE FOR THIS REPORTED EVENT. A DEVICE HISTORY RECORD (DHR) REVIEW COULD NOT BE PERFORMED AS NO BATCH/LOT NUMBER WAS MADE AVAILABLE FOR THIS REPORTED EVENT. THERE ARE PROPER CONTROLS IN PLACE TO DETECT PRODUCT MALFUNCTIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD CONNECTA PLUS3 WHITE DISCONNECTED REFERENCE: LL 394600 BATCH NUMBER: BATCH 5126874 ? BATCH 5090988 ? BATCH 5094460 ? DATE OF OCCURRENCE: (B)(6) 2025 IT WAS REPORTED THAT "MISALIGNMENT OF A PLUG IN A CENTRAL VEIN LEADING TO BLEEDING AND CEREBRAL GAS EMBOLISM WITH MULTIFOCAL STROKE; LEFT HEMIPLEGIA AND PARESIS OF THE RIGHT HAND. NO BATCH IDENTIFIED AT THE TIME OF THE EVENT. THE BATCHES CURRENTLY PRESENT AT THE PUI ARE AS FOLLOWS: - BATCH: 5126874 EXP: 30/04/2028 - BATCH: 5090988 EXP: 29/02/2028 - BATCH: 5094460 EXP: 31/03/2028 CURRENT PATIENT STATUS: PROBABLE PERMANENT FUNCTIONAL DEFICIT ACTIONS TAKEN IN THE HEALTHCARE FACILITY TO TREAT THE PATIENT: VVC LAMPING TRANSFER TO THE INTENSIVE CARE UNIT BRAIN IMAGING PERFORMED: CT AND MRI."

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
49807 BD CONNECTA PLUS3 WHITE INTRAVASCULAR CATHETER FOZ BD INFUSION THERAPY SYSTEMS INC. S.A. DE C.V. UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other