FDA Adverse Event
Malfunction
Summary report: N
INSYTE AUTOGUARD
MDR report key: 25154226
·
Received May 12, 2026
Report
- Report Number
- 1710034-2026-00507
- Event Type
- Malfunction
- Date Received
- May 12, 2026
- Date of Event
- April 24, 2026
- Report Date
- April 28, 2026
- Manufacturer
- BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
- Product Code
- FOZ
- UDI-DI
- 00382903825127
- PMA / PMN Number
- SEE H.11
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VT, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
G.4. K201075; K251654.
Description of Event or Problem · 0
IT WAS REPORTED THAT FOREIGN MATTER WAS FOUND ON A NEEDLE. A NURSE WAS ABOUT TO START AN IV ON A PATIENT AND UNCAPPED THE NEEDLE TO SEE ¿SOMETHING DARK¿ ATTACHED TO THE NEEDLE TIP. MAY EVEN BE A BUG.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 341640 | INSYTE AUTOGUARD | PERIPHERAL IV CATHETERS | FOZ | BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. | 5219750 | 00382903825127 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |