FDA Adverse Event
Malfunction
Summary report: N
BD ALARIS PUMP INFUSION SET
MDR report key: 22235598
·
Received June 17, 2025
Report
- Report Number
- MW5171589
- Event Type
- Malfunction
- Date Received
- June 17, 2025
- Date of Event
- June 6, 2025
- Report Date
- June 6, 2025
- Manufacturer
- BD / BD SWITZERLAND SÀRL
- Product Code
- FPA
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
RN PULLED A BD ALARIS PUMP INFUSION SET REF NUMBER 2420-0007 LOT NUMBER 25035293 EXPIRATION DATE OF 2028-03-09 AND UPON PRIMING NOTICED A WEAKEN AREA AT TUBING WHICH CAUSED TUBING TO BUBBLE OUT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 28515 | BD ALARIS PUMP INFUSION SET | SET, ADMINISTRATION, INTRAVASCULAR | FPA | BD / BD SWITZERLAND SÀRL | 2420-0007 | 25035293 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |