FDA Adverse Event
Malfunction
Summary report: N
DELTAVEN FAST FLASH
MDR report key: 24616758
·
Received March 17, 2026
Report
- Report Number
- 24616758
- Event Type
- Malfunction
- Date Received
- March 17, 2026
- Date of Event
- January 22, 2026
- Report Date
- February 3, 2026
- Manufacturer
- DELTA MED SPA
- Product Code
- FOZ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
AFTER INSERTING THE IV AND RETRACTING THE NEEDLE, THE ONE-WAY VALVE WAS LEAKING WHEN FLUSHED. THE NURSE WAS UNABLE TO USE THE CATHETER AND REQUIRED ANOTHER IV TO BE PLACED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 684227 | DELTAVEN FAST FLASH | CATHETER, INTRAVASCULAR, THERAPEUTIC, SHORT-TERM LESS THAN 30 DAYS | FOZ | DELTA MED SPA | 3845773 | 11T15109 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |