FDA Adverse Event
Malfunction
Summary report: N
NEXIVA
MDR report key: 25137109
·
Received May 11, 2026
Report
- Report Number
- 1710034-2026-00497
- Event Type
- Malfunction
- Date Received
- May 11, 2026
- Date of Event
- February 23, 2026
- Report Date
- May 27, 2026
- Manufacturer
- BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
- Product Code
- FOZ
- UDI-DI
- 00382903835126
- PMA / PMN Number
- SEE H.11
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- 501
Narratives
Additional Manufacturer Narrative · 0
G.4. K183399; K243403. 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
IT WAS REPORTED THAT FOREIGN MATTER WAS NOTED ON A NEEDLE. "NWWI HAS AN ISSUE WITH A LOT CONTAINING BLACK/METALLIC LOOKING COATING ON THE INSIDE PACKING OF THE STERILE NEEDLES. XXXXX HAS THESE NEEDLES SET ASIDE AND NEEDS INFORMATION TO SEND THEM BACK TO YOU FOR INVESTIGATION AND REPLACEMENT." "BLACK/METALLIC LOOKING COATING ON THE NEEDLE".
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 153796 | NEXIVA | PERIPHERAL IV CATHETERS | FOZ | BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. | 5274574 | 00382903835126 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |