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