FDA Adverse Event
Malfunction
Summary report: N
NEXIVA
MDR report key: 25145164
·
Received May 11, 2026
Report
- Report Number
- 1710034-2026-00502
- Event Type
- Malfunction
- Date Received
- May 11, 2026
- Date of Event
- April 23, 2026
- Report Date
- May 26, 2026
- Manufacturer
- BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
- Product Code
- FOZ
- UDI-DI
- 00382903835386
- PMA / PMN Number
- SEE H.11
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NL
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
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 THE TUBING LEAKED AT THE ADAPTER-TUBING JUNCTION. "IT WAS REPORTED THAT TODAY ULTRASOUND GUIDED IV WAS INSERTED IN THE ABOVE PATIENT. THE IV WAS CORRECTLY PLACED, BUT AFTER PLACING THE IV THE IV SYSTEM TURNED OUT TO BE LEAKY. BLOOD LEAKS UP THE END OF THE TUBE, JUST BELOW THE JUNCTION WHERE FLUIDS CAN BE ADMINISTERED.". "THE RISK FOR THE PATIENT IS THAT THE CHANCE OF A RUNNING IV IS SMALLER, BECAUSE THESE PATIENTS HAD ALREADY BEEN PRICKED WITH THE ULTRASOUND AND IF THE LEAKAGE WERE NOT SEEN, MEDICATION WOULD NOT REACH THE PATIENT. ".
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 604185 | NEXIVA | PERIPHERAL IV CATHETERS | FOZ | BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. | 4276209 | 00382903835386 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |