FDA Adverse Event
Malfunction
Summary report: N
PHASEAL CONNECTORS
MDR report key: 25111990
·
Received May 7, 2026
Report
- Report Number
- MW5187846
- Event Type
- Malfunction
- Date Received
- May 7, 2026
- Date of Event
- April 22, 2026
- Report Date
- May 4, 2026
- Manufacturer
- UNKNOWN
- Product Code
- ONB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
PATIENT COMING FOR 5-FU DOSI FUSER PUMP DISCONNECT AT THE INFUSION CENTER AND WHITE, POWDERY SUBSTANCE NOTED BETWEEN PHASEAL AND HUBER CLAVE CONNECTION. FLUOROURACIL 100 ML VIAL: LOT #6135297; EXP: 02/2027 FLUOROURACIL 10 ML VIAL: LOT #6134667; EXP: 12/2026 DOSI-FUSER PUMP 250D2. POSSIBLE EXPLANATIONS: -MICROLEAK AT PHASEAL¿CLAVE INTERFACE, EXTERNAL EXPOSURE OF FLUOROURACIL, DRYING, CRYSTALLINE RESIDUE PROBLEM WITH THAT: POSSIBLE HD EXPOSURE; POSSIBLE BREACH IN SYSTEM INTEGRITY; RISK OF CONTAMINATION OR DOSING INCONSISTENCY. DEVICE CODE:1354; 1120. PATIENT CODE: 4582. REFERENCE REPORT# MW5187845.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 514219 | PHASEAL CONNECTORS | CLOSED ANTINEOPLASTIC AND HAZARDOUS DRUG RECONSTITUTION AND TRANSFER SYSTEM | ONB | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | FLUOROURACIL |