FDA Adverse Event
Malfunction
Summary report: N
INSYTE-N AUTOGUARD
MDR report key: 25243833
·
Received May 21, 2026
Report
- Report Number
- 1710034-2026-00547
- Event Type
- Malfunction
- Date Received
- May 21, 2026
- Date of Event
- May 1, 2026
- Report Date
- May 26, 2026
- Manufacturer
- BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
- Product Code
- FOZ
- UDI-DI
- 00382903815111
- PMA / PMN Number
- SEE H.11
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
G.4. K201075; K251654 H.3. A FOLLOW UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION, A DEVICE EVALUATION, OR A DEVICE HISTORY REVIEW IS COMPLETED. B3. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD.
Description of Event or Problem · 0
IT IS REPORTED THAT NEEDLE RETRACTION ISSUES ARE LEADING TO NEEDLE PIERCING THE CATHETER. STAFF STATE IT IS DRAGGING AND IF THEY HAVE TO PULL OUT A BIT AT ALL IT PUNCTURES THE PLASTIC PART. THEY SAID THE BABIES ARE BEING STUCK MULTIPLE TIMES DUE TO THIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 276489 | INSYTE-N AUTOGUARD | PERIPHERAL IV CATHETERS | FOZ | BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. | 5210670 | 00382903815111 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |