FDA Adverse Event
Malfunction
Summary report: N
BICARBY DIALYSATE RFP-401
MDR report key: 24970024
·
Received April 23, 2026
Report
- Report Number
- MW5187241
- Event Type
- Malfunction
- Date Received
- April 23, 2026
- Date of Event
- April 19, 2026
- Report Date
- April 20, 2026
- Manufacturer
- FRESENIUS MEDICAL CARE RENAL THERAPIES GROUP, LLC.
- Product Code
- KPO
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MO, US
- Reporter Occupation
- PHARMACIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DIALYSATE BAGS FOR CRRT (CRRT DIALYSATE RFP-401 INFUSION) BREAK WHEN ATTEMPTING TO HANG NEW BAGS. AT THE CONNECTOR WHERE YOU HAVE TO BREAK THE SEAL, THE WHOLE PIECE FALLS OUT INSTEAD OF JUST BREAKING. FALANGE ON CRRT DIALYSATE BAGS BREAKING OFF COMPLETELY WHEN SPIKING BAGS. LOT 26AG06016 DIALYSATE BAG FOR CRRT CRACKED/BROKE OPEN ON SIDE SEAM OF BAG WHEN RECONSTITUTING/MIXING CHAMBERS RESULTING IN WASTED MEDICATION/SUPPLY D/T CONTAMINATION RISK FROM DEFECTIVE MEDICATION PACKAGING BICARBY DIALYSATE RFP 401 FRESENIUS MEDICAL REF #RFP-401- G LOT #25SG06037 CRRT DIALYSATE BAG LUER CONNECTION CAME APART WHILE CHECKING CRRT SETUP.RFP-401 MANUFACTURER FRESENIUS; REF # RFP-401-G, LOT #25SG06038. PT: 4582. DEVICE: 1069. REF: MW5187240, MW5187242.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1035258 | BICARBY DIALYSATE RFP-401 | DIALYSATE CONCENTRATE FOR HEMODIALYSIS (LIQUID OR POWDER) | KPO | FRESENIUS MEDICAL CARE RENAL THERAPIES GROUP, LLC. | 26AG06016 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |