FDA Adverse Event Malfunction Summary report: N

SAPPHIRE M.T INFUSION PUMP - GERMAN

MDR report key: 22931870 · Received September 2, 2025

Report

Report Number
3010293992-2025-00055
Event Type
Malfunction
Date Received
September 2, 2025
Report Date
November 20, 2025
Manufacturer
EITAN MEDICAL LTD.
Product Code
FRN
UDI-DI
7290109150802
PMA / PMN Number
K192860
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION TYPE: EITAN MEDICAL INVESTIGATED THE PUMP AND ITS EVENT LOG. INVESTIGATION FINDINGS: THE MINOR DEVIATIONS OBSERVED IN THE EVENT LOG ARE WITHIN THE SAPPHIRE PUMP'S ACCURACY SPECIFICATIONS. THEREFORE, NO OVER DELIVERY WAS OBSERVED IN THE TREATMENTS PERFORMED BY THE CUSTOMER. CONCLUSION: NO OVER DELIVERY WAS OBSERVED IN THE TREATMENTS PERFORMED BY THE CUSTOMER. THIS REPORTED EVENT OCCURRED OUTSIDE OF THE US ON A DEVICE THAT IS SIMILAR TO THE ONE MARKETED IN THE US AND FOR WHICH THERE IS NO DATA IN GUDID. DEVICE'S PREMARKET SUBMISSION NUMBER: K192860.

Additional Manufacturer Narrative · 0

INVESTIGATION TYPE: EITAN MEDICAL INVESTIGATED THE PUMP AND ITS EVENT LOG. INVESTIGATION FINDINGS: THE PUMP'S ACCURACY WAS TESTED AND FOUND TO MEET SPECIFICATIONS. HOWEVER, A SMALL DEVIATION WAS OBSERVED IN 2 OF THE 3 TREATMENTS FOUND IN THE EVENT LOG. CONCLUSION: NO INVESTIGATION CONCLUSION IS AVAILABLE YET. EITAN MEDICAL CONTINUES TO INVESTIGATE THIS COMPLAINT. THIS REPORTED EVENT OCCURRED OUTSIDE OF THE US ON A DEVICE THAT IS SIMILAR TO THE ONE MARKETED IN THE US AND FOR WHICH THERE IS NO DATA IN GUDID. DEVICE'S PREMARKET SUBMISSION NUMBER: K192860.

Additional Manufacturer Narrative · 0

EVENT LOG HAS BEEN RECEIVED AND IS CURRENTLY UNDER INVESTIGATION. INVESTIGATION FINDINGS WILL BE PROVIDED IN THE FOLLOW-UP REPORT. THIS REPORTED EVENT OCCURRED OUTSIDE OF THE US ON A DEVICE THAT IS SIMILAR TO THE ONE MARKETED IN THE US AND FOR WHICH THERE IS NO DATA IN GUDID. DEVICE'S PREMARKET SUBMISSION NUMBER: K192860.

Description of Event or Problem · 0

THIS COMPLAINT WAS REPORTED BY A CUSTOMER FROM GERMANY. A DELIVERY ISSUE WAS REPORTED. NO HUMAN HARM AND NO MEDICAL INTERVENTION OCCURRED AS A RESULT OF THIS COMPLAINT.

Description of Event or Problem · 0

THIS COMPLAINT WAS REPORTED BY A CUSTOMER FROM GERMANY. A DELIVERY ISSUE WAS REPORTED. NO HUMAN HARM AND NO MEDICAL INTERVENTION OCCURRED AS A RESULT OF THIS COMPLAINT.

Description of Event or Problem · 0

THIS COMPLAINT WAS REPORTED BY A CUSTOMER FROM GERMANY. A DELIVERY ISSUE WAS REPORTED. NO HUMAN HARM AND NO MEDICAL INTERVENTION WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2865142 SAPPHIRE M.T INFUSION PUMP - GERMAN INFUSION PUMP FRN EITAN MEDICAL LTD. 7290109150802

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown