FDA Adverse Event Malfunction Summary report: N

NEXIVA

MDR report key: 24169324 · Received January 23, 2026

Report

Report Number
1710034-2026-00051
Event Type
Malfunction
Date Received
January 23, 2026
Date of Event
January 13, 2026
Report Date
February 11, 2026
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
Product Code
FOZ
UDI-DI
00382903835324
PMA / PMN Number
K183399
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. H.3. A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED.

Additional Manufacturer Narrative · 0

A DEVICE HISTORY RECORD REVIEW WAS COMPLETED BY OUR QUALITY ENGINEER TEAM FOR PROVIDED MATERIAL NUMBER 383532 AND LOT NUMBER 5120912, 5211942, 5148477 AND 5177517. THE REVIEW DID NOT REVEAL ANY DETECTED ABNORMALITIES DURING THE PRODUCTION PROCESS THAT COULD HAVE CONTRIBUTED TO THE REPORTED ISSUE, AND ALL QUALITY TESTS WERE FOUND TO BE WITHIN SPECIFICATION. AS A SAMPLE WAS UNAVAILABLE FOR RETURN, A THOROUGH SAMPLE INVESTIGATION COULD NOT BE COMPLETED. BASED ON THE INVESTIGATION RESULTS, AN EXACT CAUSE FOR THIS INCIDENT COULD NOT BE IDENTIFIED. THERE ARE QUALITY CONTROLS CURRENTLY IN PLACE TO DETECT SIMILAR ISSUES DURING THE PRODUCTION PROCESS. FURTHER ACTION HAS NOT BEEN DETERMINED NECESSARY AT THIS TIME. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. OUR QUALITY TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Description of Event or Problem · 0

WHEN FLUSHING THE SYSTEM WITH PHYSIOLOGICAL SOLUTION, PRESSURE BUILDS UP, CAUSING THE Q-SYTE TO DISCONNECT FROM THE SYSTEM. PATIENTS WERE NOT HARMED, BUT WE NEED TO USE EXTRA MATERIALS (INCREASED COSTS) AND THERE IS A POSSIBLE RISK AT INFECTION. FOR US IT IS CLEAR THAT THE CONNECTION BETWEEN THE Q-SYTE AND THE SYSTEM IS TOO LOOSE AND NEEDS EXTRA REINFORCEMENT.

Description of Event or Problem · 0

NO NEW INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
231140 NEXIVA PERIPHERAL IV CATHETERS FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. 5211942 00382903835324

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown