FDA Adverse Event
Other
Summary report: N
BD ALARIS PUMP MODULE INFUSION SET
MDR report key: 25069096
·
Received May 4, 2026
Report
- Report Number
- MW5187570
- Event Type
- Other
- Date Received
- May 4, 2026
- Date of Event
- April 24, 2026
- Report Date
- April 29, 2026
- Manufacturer
- BD / BECTON, DICKINSON AND COMPANY / CAREFUSION 2200, INC.
- Product Code
- FPA
- Report Source
- Voluntary report
- Reporter Location
- SC, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE INTRAVENOUS TUBING SET CAME APART AFTER SPIKING THE MAGNESIUM BAG, SPILLED MAGNESIUM ON THE FLOOR. TUBING AND MAGNESIUM HAD TO BE THROWN AWAY AND REPLACED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 470912 | BD ALARIS PUMP MODULE INFUSION SET | SET, ADMINISTRATION, INTRAVASCULAR | FPA | BD / BECTON, DICKINSON AND COMPANY / CAREFUSION 2200, INC. | 26025231 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 78 YR | Female | Other |