FDA Adverse Event Malfunction Summary report: N

HEMODIALYSIS BLOODLINES

MDR report key: 22893664 · Received August 26, 2025

Report

Report Number
2521402-2025-00594
Event Type
Malfunction
Date Received
August 26, 2025
Report Date
October 31, 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
AZ, 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). ONE (1) SAMPLE WAS SUBMITTED TO THE MANUFACTURER FOR EVALUATION. THROUGH VISUAL EXAMINATION, NO VISUAL DEFECTS WERE IDENTIFIED. WHILE NO DEFECTS WERE IDENTIFIED, THE REPORTED ISSUE IS A KNOWN ISSUE. 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

AS REPORTED BY THE USER FACILITY: CUSTOMER REPORTED DURING A LIVE CALL THAT THE SITE IS EXPERIENCING TROUBLE WITH THE ST L - DESCRIBED AS SMALL AIR BUBBLES IN THE LINES- VISIBLE IN THE PATIENT'S BLOOD. LOOKS LIKE IT IS COMING FROM THE RED CONNECTION WHERE THE LINES ARE CONNECTED TO THE PATIENT'S NEEDLE. THE FAILURE RATE - WITH THIS LOT NUMBER - IT IS HIT OR MISS. WITH A PREVIOUS LOT (ALREADY REPORTED WAS EVERY LINE). THE PREVIOUS LOT HAS ALSO BEEN QUARANTINED UNTIL THE CUSTOMER HAS FEEDBACK FROM B. BRAUN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2666308 HEMODIALYSIS BLOODLINES SET, TUBING, BLOOD, WITH AND WITHOUT ANTI-REGURGITATION VALVE FJK B. BRAUN MEDICAL INC. A2500262 04046964367786

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown