FDA Adverse Event
Malfunction
Summary report: N
PUMP INFUSION SET IV TUBING/ACCESSORIES
MDR report key: 22771861
·
Received August 11, 2025
Report
- Report Number
- MW5174316
- Event Type
- Malfunction
- Date Received
- August 11, 2025
- Date of Event
- July 29, 2025
- Report Date
- August 6, 2025
- Manufacturer
- BD SWITZERLAND SARL
- 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
BD ALARIS PUMP INFUSION SET MANUFACTURED 2025-03-21 WITH EXPIRATION DATE OF 2028-03-20, LOT 25035496 IN 2 PIECES WHEN REMOVED FROM PLASTIC WRAPPER. UNABLE TO USE AND REMOVED FROM PATIENT CARE AREA. REPORTED TO SUPERVISOR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2271020 | PUMP INFUSION SET IV TUBING/ACCESSORIES | SET, ADMINISTRATION, INTRAVASCULAR | FPA | BD SWITZERLAND SARL | 2420-0007 | 25035496 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |