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 |