MalfunctionFPA
ALARIS PUMP INFUSION SET
Received Jun 22, 2026 · Event occurred May 12, 2026
Report MW5189727 · MDR key 25580398
Device
Generic name
Set, Administration, Intravascular
Manufacturer
Carefusion 2200, Inc.Catalog number
2420-0007
Lot number
26035444
Patient
74 YR · Female
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
PRIMARY LINE INFUSING IV POTASSIUM CHLORIDE BROKE FROM THE "MALE LUER" THAT ATTACHES TO THE Y-SITE. THIS MALFUNCTION RESULTED IN DISCONNECTION FROM THE PATIENT AND THE LINE TO LEAK KCL ON THE FLOOR. PRIMARY RN FOUND MALFUNCTION 5 MINUTES AFTER SECOND KCL BAG STARTED. LINE CONNECTED TO PATIENT AND MEDICATION BAG BOTH CLAMPED. AREA CLEANSED.