FDA Adverse Event
Injury
Summary report: N
ELASTOMERIC INFUSION PUMP
MDR report key: 23768589
·
Received December 10, 2025
Report
- Report Number
- MW5180246
- Event Type
- Injury
- Date Received
- December 10, 2025
- Date of Event
- October 29, 2025
- Report Date
- November 3, 2025
- Manufacturer
- AVANOS MEDICAL, INC.
- Product Code
- MEB
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- IA, US
- Reporter Occupation
- PHARMACIST
- Health Professional
- *
Narratives
Description of Event or Problem · 0
REPORT: 1845777: LLT CODES: 10069327; PRODUCT QUALITY ISSUE I NARRATIVE: PHARMACY TECHNICIAN FILLING AVANOS ELASTOMERIC PUMP 5 ML/HR, 270ML, VOLUME LOT #30281615 EXPERIENCED INABILITY TO TRANSFER NORMAL SALINE FROM A SYRINGE INTO THE PUMP. TRANSFER WAS MET WITH RESISTANCE/BACKPRESSURE. SUBSEQUENTLY, THE TECHNICIAN ABANDONED THE PROBLEM ELASTOMERIC PUMP AND RETRIEVED ANOTHER (FROM THE SAME LOT) AND THE TRANSFER OCCURRED WITHOUT ISSUE. SUBSEQUENT TO THIS EVENT WE SEQUESTERED ALL OF THIS LOT (3 PUMPS TOTAL). ONE OF THEM WAS USED/TESTED AND FOUND TO WORK FINE. SEEMS THIS MAY BE AN INTRA-LOT ISSUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2876403 | ELASTOMERIC INFUSION PUMP | PUMP, INFUSION, ELASTOMERIC | MEB | AVANOS MEDICAL, INC. | 30281615 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 22 MO | Female | SODIUM CHLORIDE |