FDA Adverse Event Malfunction Summary report: N

NEXIVA DIFFUSICS

MDR report key: 24716825 · Received March 30, 2026

Report

Report Number
9610847-2026-00142
Event Type
Malfunction
Date Received
March 30, 2026
Date of Event
March 16, 2026
Report Date
April 17, 2026
Manufacturer
BD INFUSION THERAPY SYSTEMS INC. S.A. DE C.V.
Product Code
FOZ
UDI-DI
00382903835904
PMA / PMN Number
SEE H.11
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: BD WAS NOT ABLE TO CONFIRM THE CUSTOMER¿S INDICATED FAILURE MODE BECAUSE NO SAMPLES OR PICTURES WERE RECEIVED TO PERFORM INVESTIGATION. IT IS RECOMMENDED TO PROVIDE A SAMPLE EXHIBITING THE REPORTED DEFECT FOR EVALUATION. THE MANUFACTURING RECORDS FOR THIS BATCH HAS BEEN REVIEWED AND NOTHING EXTRAORDINARY OCCURRED DURING THE MANUFACTURING PROCESS RELATED TO THIS FAILURE MODE. INTERNAL QUALITY RECORDS HAVE BEEN CONSULTED FOR TRACKING AND TRENDING PURPOSES BUT ISSUES LIKE THIS ARE NOT DETECTED WHICH MEANS LOW OCCURRENCE. WE WILL KEEP MONITORING THE MANUFACTURING PROCESS AND IN CASE ANY EMERGING TREND IS DETECTED, FURTHER ACTIONS WILL BE TAKEN IF NECESSARY.

Additional Manufacturer Narrative · 0

G.4. K173354; K250682. H.3. A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE NEXIVA DIFFUSICS LEAKED. DATE OF INCIDENT: (B)(6) 2026. LEVEL OF HARM: TEMPORARY HARM. NO SERIOUS HARM WAS REPORTED. INCIDENT DETAILS: STAFF NURSE WENT TO PLACE PIV, UPON INITIAL POKE, BLOOD BEGAN LEAKING THROUGH THE IV CANNULA AT THE BASE. IV ATTEMPT WAS ABORTED AND 2ND IV ATTEMPT WAS GAINED. WHO WAS AFFECTED? PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
305130 NEXIVA DIFFUSICS PERIPHERAL IV CATHETERS FOZ BD INFUSION THERAPY SYSTEMS INC. S.A. DE C.V. 5302322 00382903835904

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown