FDA Adverse Event Malfunction Summary report: N

BD ALARIS PRIMARY PUMP INFUSION SET PVC

MDR report key: 24146797 · Received January 22, 2026

Report

Report Number
MW5182641
Event Type
Malfunction
Date Received
January 22, 2026
Date of Event
January 15, 2026
Report Date
January 16, 2026
Manufacturer
BECTON DICKINSON
Product Code
FPA
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

WHILE SPIKING A 500 ML NS BAG WITH AN ALARIS PRIMARY LINE, A THIN, [INVALID]LIKE FOREIGN OBJECT (~0.5 CM) WAS OBSERVED FLOATING IN THE PRIMARY LINE FROM THE NS BAG. PRODUCT QUARANTINED. NS BAG MANUFACTURER: B. BRAUN, REF L8001, LOT J5H678, EXP 2027-11. BD ALARIS PRIMARY PUMP INFUSION SET PVC REF 2420-0007, LOT 25095682, MANUFACTURE 09-22-2025 EXPIRATION DATE 09-21-2028.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
215580 BD ALARIS PRIMARY PUMP INFUSION SET PVC SET, ADMINISTRATION, INTRAVASCULAR FPA BECTON DICKINSON 2420-0007 25095682

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown SODIUM CHLORIDE 0.9% 500ML BAG.