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