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 |