FDA Adverse Event
Malfunction
Summary report: N
CLOSED SYSTEM TRANSFER DEVICE PHASEAL PROTECTOR
MDR report key: 22535320
·
Received July 17, 2025
Report
- Report Number
- MW5172893
- Event Type
- Malfunction
- Date Received
- July 17, 2025
- Date of Event
- July 14, 2025
- Report Date
- July 14, 2025
- Manufacturer
- BECTON DICKINSON
- Product Code
- ONB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
WE HAD PHASEAL MALFUNCTION TODAY. WHILE BEGINNING TO MIX A GEMCITABINE, THE TUBING FELL OUT OF THE NSS 250 BAG. THE TECHNICIAN HAD LIFTED THE BAG TO TAKE OUT THE NSS TO RECONSTITUTE THE GEMCITABINE, AND THE SPIKE FELL OUT OF THE BAG. THIS OCCURRED AT THE (B)(6). FK NSS 250 ML LOT:6402420 EXP: 3/2028, BD ALARIS PUMP INFUSION SET (10015861A), LOT: (10)25035363 EXP: 3/13/28.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2752065 | CLOSED SYSTEM TRANSFER DEVICE PHASEAL PROTECTOR | CLOSED ANTINEOPLASTIC AND HAZARDOUS DRUG RECONSTITUTION AND TRANSFER SYSTEM | ONB | BECTON DICKINSON | 2502409 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |