FDA Adverse Event Malfunction Summary report: N

CURAPLEX

MDR report key: 23238705 · Received October 7, 2025

Report

Report Number
1314417-2025-00078
Event Type
Malfunction
Date Received
October 7, 2025
Date of Event
September 3, 2025
Report Date
February 6, 2026
Manufacturer
BOUND TREE MEDICAL, LLC
Product Code
BTM
UDI-DI
00812277037029
PMA / PMN Number
UNKNOWN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE PRODUCT INVOLVED IN THE REPORT HAS NOT BEEN RETURNED FOR EVALUATION A REVIEW OF THE DEVICE HISTORY RECORD IS IN-PROGRESS. ALL INFORMATION REASONABLY KNOWN AS OF 07 OCT 2025 HAS BEEN INCLUDED IN THIS HEALTH AUTHORITY REPORT. SHOULD ADDITIONAL INFORMATION BE OBTAINED, A FOLLOW-UP HEALTH AUTHORITY REPORT WILL BE PROVIDED. THE INFORMATION PROVIDED BY SUN MED HOLDINGS LLC. REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO SUN MED HOLDINGS LLC. SUN MED HOLDINGS LLC. HAS NO INDEPENDENT KNOWLEDGE OF THE EVENT REPORTED BUT IS RELAYING THE INFORMATION THAT WAS PROVIDED BY THE USER FACILITY WHERE THE INCIDENT OCCURRED. THIS PRODUCT INCIDENT IS DOCUMENTED IN THE SUN MED HOLDINGS COMPLAINT DATABASE AND IDENTIFIED AS (B)(4). THIS INFORMATION IS SUBMITTED PURSUANT TO 21CFR803, IN COMPLIANCE WITH THE MEDICAL DEVICE REPORTING REQUIREMENT AND SHOULD NOT BE CONSIDERED TO BE AN ADMISSION THAT AN SUN MED HOLDINGS LLC. PRODUCT IS DEFECTIVE OR CAUSED SERIOUS INJURY.

Additional Manufacturer Narrative · 0

CORRECTION: D9. ADDITIONAL INFORMATION-INVESTIGATION COMPLETION: D4; H2; H6. THE ACTUAL SAMPLE FROM THE REPORTED EVENT WAS RETURNED FOR EVALUATION. VISUAL EXAMINATION OF THE DEVICE WAS PERFORMED AS WELL AS MANUAL MANIPULATION. THE REPORTED EVENT COULD BE CONFIRMED AS REPORTED; THE ROOT CAUSE WAS DETERMINED TO BE A CHEMICAL REACTION, WHICH OCCURRED DURING THE MANUFACTURING PROCESS, THAT LEAD TO THE RELEASE OF INTERNAL STRESS IN THE ELBOW/HOUSING, RESULTING IN THE FORMATION OF CRACKS AND/OR FRACTURES. A TREND ANALYSIS WAS PERFORMED AND ONE (1) OTHER COMPLAINT WAS FOUND, REGARDING THE 'POP OFF VALVE// BROKE', WITHIN THE 24 MONTHS PRECEDING THIS REPORTED EVENT; COMPLAINTS WILL CONTINUE TO BE MONITORED FOR POSSIBLE TRENDS. THE DEVICE HISTORY RECORD FOR LOT 526970 WAS REVIEWED AND THE PRODUCT WAS PRODUCED ACCORDING TO PRODUCT SPECIFICATIONS. ALL INFORMATION REASONABLY KNOWN AS OF 06 FEB 2026 HAS BEEN INCLUDED IN THIS HEALTH AUTHORITY REPORT. SHOULD ADDITIONAL INFORMATION BE OBTAINED, A FOLLOW-UP HEALTH AUTHORITY REPORT WILL BE PROVIDED. THE INFORMATION PROVIDED BY SUN MED HOLDINGS LLC. REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO SUN MED HOLDINGS LLC. SUN MED HOLDINGS LLC. HAS NO INDEPENDENT KNOWLEDGE OF THE EVENT REPORTED BUT IS RELAYING THE INFORMATION THAT WAS PROVIDED BY THE USER FACILITY WHERE THE INCIDENT OCCURRED. THIS PRODUCT INCIDENT IS DOCUMENTED IN THE SUN MED HOLDINGS COMPLAINT DATABASE AND IDENTIFIED AS (B)(4). THIS INFORMATION IS SUBMITTED PURSUANT TO 21CFR803, IN COMPLIANCE WITH THE MEDICAL DEVICE REPORTING REQUIREMENT AND SHOULD NOT BE CONSIDERED TO BE AN ADMISSION THAT AN SUN MED HOLDINGS LLC. PRODUCT IS DEFECTIVE OR CAUSED SERIOUS INJURY.

Description of Event or Problem · 0

IT WAS REPORTED: THE BAG-VALVE-MASK (BVM) HAD A FAILURE ON THE POP OFF VALVE, DURING PATIENT USE, THE WHITE TOP TO THE VALVE BROKE OFF. THERE WAS NO REPORTED INJURY.

Description of Event or Problem · 0

IT WAS REPORTED: THE BAG-VALVE-MASK (BVM) HAD A FAILURE ON THE POP OFF VALVE, DURING PATIENT USE, THE WHITE TOP TO THE VALVE BROKE OFF. THERE WAS NO REPORTED INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2748025 CURAPLEX CURAPLEX SMALL ADULT/PEDIATRIC PREMIUM BVM W/ BAG RESERVOIR, MANOMETER, 25CM POP BTM BOUND TREE MEDICAL, LLC AF2000 526970 00812277037029

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown