FDA Adverse Event
Malfunction
Summary report: N
NEXIVA MAXZERO
MDR report key: 25191209
·
Received May 15, 2026
Report
- Report Number
- 1710034-2026-00525
- Event Type
- Malfunction
- Date Received
- May 15, 2026
- Date of Event
- April 29, 2026
- Report Date
- May 26, 2026
- Manufacturer
- BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
- Product Code
- FOZ
- UDI-DI
- 00382903835560
- PMA / PMN Number
- SEE H.11
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- 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 NEXIVA LEAKED AT THE SEPTUM. IT WAS BROUGHT TO OUR ATTENTION THIS MORNING THAT ONE OF THE 20G NEXIVA CATH IV WAS LEAKING FROM THE ACCESS PORT WHEN CONNECTED TO A PATIENT. WE PULLED THE AFFECTED LOT FROM THE FLOOR AND STOREROOM. PLEASE ADVISE FURTHER INSTRUCTIONS OR ACTIONS TO BE TAKEN. ADDITIONAL INFORMATION 5/5/2026: WHAT WAS THE IMPACT TO THE PATIENT OR HCP? THE PATIENT HAD TO RE-POKED X2 TO ESTABLISH NEW ACCESS ANY ADVERSE EVENT OR SERIOUS INJURY REPORTED TO PATIENT OR HEALTHCARE PROFESSIONAL? IF YES, PLEASE PROVIDE THE DETAILS. NO
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 429663 | NEXIVA MAXZERO | PERIPHERAL IV CATHETERS | FOZ | BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. | 6056783 | 00382903835560 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |