FDA Adverse Event Malfunction Summary report: N

NEXIVA

MDR report key: 25230072 · Received May 20, 2026

Report

Report Number
1710034-2026-00540
Event Type
Malfunction
Date Received
May 20, 2026
Date of Event
May 4, 2026
Report Date
May 8, 2026
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
Product Code
FOZ
UDI-DI
00382903835195
PMA / PMN Number
SEE H.11
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
003

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 IV LEAKED AT THE SEPTUM. (B)(6) 2026 - AFTER SUCCESSFUL PLACEMENT, THE IV SYSTEM LEAKED OUT THE PORTAL OF ENTRY AFTER THE NEEDLE WAS REMOVED. A NEW IV NEEDED TO BE PLACED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
37640 NEXIVA PERIPHERAL IV CATHETERS FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. 5329063 00382903835195

Patients

Seq Age Sex Outcome Treatment
1