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