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