FDA Adverse Event Malfunction Summary report: N

CARBOLIME

MDR report key: 23560517 · Received November 14, 2025

Report

Report Number
1924066-2025-00083
Event Type
Malfunction
Date Received
November 14, 2025
Date of Event
October 28, 2025
Report Date
November 14, 2025
Manufacturer
ALLIED MEDICAL LLC.
Product Code
CBL
UDI-DI
00026072025321
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DURING A PROCEDURE, THE CO2 ABSORBENT CANISTER FAILED AND REQUIRED INTERVENTION. NO PATIENT HARM OCCURRED. THE DEVICE HAS NOT BEEN RETURNED FOR PROPER INVESTIGATION.

Description of Event or Problem · 0

CUSTOMER HAS REPORTED LEAK TEST, FAILURES, ISSUES REQUIRING INTERVENTION MID CASE AT LEAST ONCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2790118 CARBOLIME CARBOLIME, GE MULTI-STYLE CARTRIDGE CBL ALLIED MEDICAL LLC. 55-01-0027 UNKNOWN 00026072025321

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention