BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD SHIELDED CATHETER, INSYTE AUTOGUARD 20 GA 1.16 IN 1.1 X 30 MM

    MDR report key: 2941399 · Received January 29, 2013

    Report

    Report Number
    MW5028805
    Event Type
    Malfunction
    Date Received
    January 29, 2013
    Date of Event
    January 1, 2013
    Report Date
    January 17, 2013
    Manufacturer
    BECTON DICKINSON INFUSION THERAPY SYSTEMS
    Product Code
    FOZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    STAFF HAS REPORTED NUMEROUS PROBLEMS THREADING CATHETER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    38680 BD SHIELDED CATHETER, INSYTE AUTOGUARD 20 GA 1.16 IN 1.1 X 30 MM SHIELDED IV CATHETER FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS 2293859

    Patients

    Seq Age Sex Outcome Treatment
    1