FDA Adverse Event Malfunction Summary report: N

HEMODIALYSIS BLOODLINES

MDR report key: 22882888 · Received August 25, 2025

Report

Report Number
2521402-2025-00591
Event Type
Malfunction
Date Received
August 25, 2025
Report Date
December 30, 2025
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
NC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

EVENT 1: THE REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL INTERNATIONAL 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

EVENT 1: THE REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL INTERNATIONAL REPORT NUMBER (B)(4). NO SAMPLES WERE PROVIDED FOR EVALUATION. ALTHOUGH NO SAMPLES WERE PROVIDED, THE REPORTED EVENT IS SIMILAR TO A KNOWN ISSUE OF AIR IN LINE DURING USE. 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 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

EVENT 1: ACCORDING TO THE CUSTOMER: "THESE DEVICES ARE A DIFFERENT COLOR: THE GOOD ONES ARE MATTE; THESE ARE CLEARER AND MORE TRANSPARENT AND THE SCREW ON PORTION IS SHORTER THAN THE PREVIOUS VERSION. THE FAILURE RATE WAS 100% ON THESE LOTS, STAFF SAY, "SUCKS IN TOO MUCH AIR CAUSING THE LINES TO CLOT".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2292064 HEMODIALYSIS BLOODLINES SET, TUBING, BLOOD, WITH AND WITHOUT ANTI-REGURGITATION VALVE FJK B. BRAUN MEDICAL INC. A2500261 04046964367786

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown