FDA Adverse Event Malfunction Summary report: N

SAF-T-INTIMA Y ADP YEL 24GA X 0.75IN

MDR report key: 24402415 · Received February 20, 2026

Report

Report Number
3006948883-2026-00150
Event Type
Malfunction
Date Received
February 20, 2026
Date of Event
February 5, 2026
Report Date
March 13, 2026
Manufacturer
BD SUZHOU (MDS)
Product Code
FOZ
PMA / PMN Number
UNK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION RESULTS: A DEVICE HISTORY REVIEW WAS CONDUCTED FOR LOT NUMBER 5162992. OUR RECORDS SHOW THAT THIS IS THE ONLY INSTANCE OF THIS ISSUE OCCURRING IN THIS PRODUCTION BATCH. ACCORDING TO THE SAMPLING PLAN APPLIED FOR PRODUCT PERFORMANCE, THIS LOT WAS ACCEPTED AND RELEASED WITHOUT DEFECTS BEING NOTED DURING THE FINAL ASSEMBLY OR VISUAL INSPECTIONS. A SAMPLE COULD NOT BE OBTAINED FOR EVALUATION AND TESTING; IN LIEU OF THE AFFECTED DEVICE, FUNCTIONAL TESTING WAS PERFORMED ON RETENTION SAMPLES FOR THIS LOT, THE RESULTS OF THESE SHOW THAT THE TESTED UNITS PERFORMED WITHIN PRODUCT SPECIFICATIONS. UNFORTUNATELY, WITHOUT THE ABILITY TO INVESTIGATE THE AFFECTED UNIT OUR QUALITY ENGINEERS WERE UNABLE TO DETERMINE THE ROOT CAUSE FOR THIS COMPLAINT. BD WILL CONTINUE TO MONITOR THIS ISSUE.

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

NO ADDITIONAL INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT AFTER INSERTING THE BUTTERFLY NEEDLE, THE SAFETY SLEEVE REMAINS IN PLACE. AFTER INSERTING THE BUTTERFLY NEEDLE, THE SAFETY SLEEVE REMAINS IN PLACE. THE NEEDLE IS REMOVED WITHOUT THE SAFETY SLEEVE. REMOVING THE NEEDLE WAS LABORIOUS. WHEN DID THE INCIDENT OCCUR? - BEFORE USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
181166 SAF-T-INTIMA Y ADP YEL 24GA X 0.75IN INTRAVASCULAR CATHETER FOZ BD SUZHOU (MDS) 5162992

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown