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 |