In a Public Health Advisory issued on March 1, 1994 ("Avoiding Injuries from Rapid Drug or I.V. Fluid Administration Associated with I.V. Pumps and Rate Controller Devices"), the U.S. Food and Drug Administration (FDA) stated that it had received reports of injuries and deaths from uncontrolled, rapid infusion of medications and/or fluids associated with IV pumps and rate-control devices. The Advisory focuses on uncontrolled gravity flow, or what is commonly referred to as free-flow. However, it does not adequately describe free-flow protection mechanisms and makes suggestions that are misleading, unwarranted, hazardous, or expensive to implement. One suggestion places patients at greater risk than the problem it is intended to prevent.