FDA Adverse Event Malfunction Summary report: N

INSYTE AUTOGUARD

MDR report key: 24475626 · Received February 27, 2026

Report

Report Number
9610048-2026-00032
Event Type
Malfunction
Date Received
February 27, 2026
Date of Event
December 23, 2025
Report Date
March 12, 2026
Manufacturer
BECTON DICKINSON INDUSTRIAS CIRURGICAS, LTDA.
Product Code
FOZ
UDI-DI
00382903818112
PMA / PMN Number
K201075
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A DEVICE HISTORY RECORD REVIEW WAS COMPLETED BY OUR QUALITY ENGINEER TEAM FOR PROVIDED MATERIAL NUMBER 38181114 AND LOT NUMBER 5182514. THE REVIEW DID NOT REVEAL ANY DETECTED ABNORMALITIES DURING THE PRODUCTION PROCESS THAT COULD HAVE CONTRIBUTED TO THIS DEFECT, 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 THIS TYPE OF DEFECT 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.

Additional Manufacturer Narrative · 0

A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED. E1. ALL DEMOGRAPHIC INFORMATION ON THE REGULATORY DOCUMENT STATES "CONFIDENTIAL".

Description of Event or Problem · 0

NO NEW INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT CATHETER PRESENTED RESISTANCE WHEN PERFORMING PUNCTURE DUE TO THE PRESENCE OF A CRACK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
606912 INSYTE AUTOGUARD PERIPHERAL IV CATHETERS FOZ BECTON DICKINSON INDUSTRIAS CIRURGICAS, LTDA. 5182514 00382903818112

Patients

Seq Age Sex Outcome Treatment
1