FDA Adverse Event Malfunction Summary report: N

HEMODIALYSIS BLOODLINES

MDR report key: 22641650 · Received July 29, 2025

Report

Report Number
2521402-2025-00262
Event Type
Malfunction
Date Received
July 29, 2025
Report Date
January 22, 2026
Manufacturer
B. BRAUN MEDICAL INC.
Product Code
FJK
UDI-DI
04046964367786
PMA / PMN Number
K080807
Removal / Correction Number
Z-0070-2026
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL INTERNAL REPORT NUMBER (B)(4). THE INVESTIGATION IS ONGOING AT THIS TIME. A FOLLOW-UP WILL BE SUBMITTED WHEN THE INVESTIGATION RESULTS BECOME AVAILABLE.

Additional Manufacturer Narrative · 0

THIS REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL INTERNAL REPORT NUMBER (B)(4). A TOTAL OF NINE SAMPLES WERE RETURNED FOR EVALUATION. ALL SAMPLES UNDERWENT VISUAL INSPECTION, AND NO DEFECTS WERE OBSERVED. A SUBSET OF THE SAMPLES WAS SUBSEQUENTLY SUBJECTED TO LEAK TESTING, DURING WHICH FIVE SAMPLES DID NOT MEET LEAKAGE REQUIREMENTS AT THE BLUE PATIENT CONNECTOR, AND ONE ALSO DID NOT MEET REQUIREMENTS AT THE RED PATIENT CONNECTOR. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) WAS PERFORMED FOR THE REPORTED LOT NUMBER AND NO ABNORMALITIES OR NON-CONFORMANCES WERE NOTED DURING THE IN PROCESS OR FINAL PRODUCT INSPECTION. THE REPORTED ISSUE IS DUE TO A MANUFACTURING ISSUE WITH THE ARTERIAL AND VENOUS PATIENT CONNECTORS, WHICH MAY ALLOW AIR LEAKAGE RESULTING IN MICROBUBBLES IN THE LINE, WHICH COULD THUS TRIGGER AIR-IN-LINE ALARMS. AN APPROVED PROJECT IS IN THE PLACE TO FURTHER ADDRESS ISSUES WITH AIR IN LINE. ADDITIONALLY, B. BRAUN MEDICAL INC. (BBMI) ISSUED A VOLUNTARY URGENT FIELD SAFETY CORRECTION FOR STREAMLINE® BLOODLINE SET FOR DIALOG+® HEMODIALYSIS SYSTEM (2521402-9/3/25-004-C [Z-0070-2026]). WE WILL MAINTAIN THIS REPORT FOR FURTHER REFERENCES AND CONTINUE TO MONITOR OTHER REPORTS FOR SIMILAR OCCURRENCES. IF ANY ADDITIONAL PERTINENT INFORMATION BECOMES AVAILABLE, A FOLLOW-UP WILL BE SUBMITTED.

Description of Event or Problem · 0

AS REPORTED BY THE USER FACILITY: BLOOD LINES ARE LEAKING FROM THE ARTERIAL CREATING AIR BUBBLES. CUSTOMER REPORTED THAT AN ABUNDANCE OF THIS LOT FAILED THAT THERE ARE MICRO BUBBLES WHICH ARE MAKING THE MACHINE ALARM. SHE STATED THAT THE STAFF INFORMED HER THAT THE RED PLASTIC PORT ON THESE DEVICES ARE SHINY RED, AND IT IS USUALLY MATTE IN COLOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2549774 HEMODIALYSIS BLOODLINES SET, TUBING, BLOOD, WITH AND WITHOUT ANTI-REGURGITATION VALVE FJK B. BRAUN MEDICAL INC. A2500203 04046964367786

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown