FDA Adverse Event Injury Summary report: N

BD ALARIS PUMP TUBING

MDR report key: 21422262 · Received February 20, 2025

Report

Report Number
MW5166546
Event Type
Injury
Date Received
February 20, 2025
Date of Event
February 11, 2025
Report Date
February 14, 2025
Manufacturer
CAREFUSION 2200, INC.
Product Code
FPA
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
PA, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

WHEN PUMP CHANNEL WAS OPENED, TUBING IN BOTTOM HALF OF CHANNEL SPLIT FROM TOP PART OF TUBING TO RITUXAN. RITUXAN WAS FREE FLOWING FROM REMAINING TUBING ABOVE CHANNEL AND ONTO THE FLOOR. UNABLE TO CLAMP TUBING WITH CLAMP ON THE TUBING IN CHANNEL SO CHANNEL WAS CLOSED TO PREVENT FURTHER SPILL. NO RITUXAN GOT ONTO PATIENT. SPILL KIT WAS USED TO CLEAN SPILL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1045757 BD ALARIS PUMP TUBING SET, ADMINISTRATION, INTRAVASCULAR FPA CAREFUSION 2200, INC. 24085390

Patients

Seq Age Sex Outcome Treatment
1 Male TUBING- LOT #: 24115025