FDA Adverse Event Malfunction Summary report: N

NEXIVA

MDR report key: 24942345 · Received April 21, 2026

Report

Report Number
1710034-2026-00439
Event Type
Malfunction
Date Received
April 21, 2026
Date of Event
April 9, 2026
Report Date
April 14, 2026
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
Product Code
FOZ
PMA / PMN Number
SEE H.11
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

G.4. K183399; K243403.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE ADAPTER AND TUBING SEPARATED. THE CATHETER HUB AND EXTENSION TUBE WAS DISLOCATED. IT WAS UNKNOWN WHETHER THE LEAK OCCURRED DUE TO THE DETACHMENT. (B)(6) 2026 CLARIFICATION RECEIVED: THE EVENT WAS A DISLOCATION OF THE CATHETER HUB AND EXTENSION TUBE. IT IS UNKNOWN WHETHER THE LEAK OCCURRED DUE TO THE DETACHMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
113548 NEXIVA PERIPHERAL IV CATHETERS FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.

Patients

Seq Age Sex Outcome Treatment
1