FDA Adverse Event Malfunction Summary report: N

PERFUSOR®

MDR report key: 23347593 · Received October 21, 2025

Report

Report Number
9610825-2025-00625
Event Type
Malfunction
Date Received
October 21, 2025
Date of Event
September 19, 2025
Report Date
October 21, 2025
Manufacturer
B BRAUN MELSUNGEN AG
Product Code
MEA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
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. NOTE: THIS REPORTED IS BEING FILED FOR AN ITEM NUMBER THAT IS NOT SOLD IN THE UNITED STATES, HOWEVER SIMILAR ITEMS ARE SOLD IN THE UNITED STATES BY B. BRAUN MEDICAL, INC. PLEASE NOTE, THIS DEVICE IS DISTRIBUTED OUTSIDE THE US AND NO GUDID INFORMATION EXISTS. IT IS BEING REPORTED DUE TO A SIMILAR DEVICE BEING MARKETED WITHIN THE US WITH THE FOLLOWING INFO: UDI NUMBER (B)(4) PREMARKET SUBMISSION # K092313.

Description of Event or Problem · 0

ACCORDING TO THE EVENT DESCRIPTION: "THE PSE ADMINISTERED THE HEPARIN DOSE FASTER THAN THE INITIAL RATE: PSE ADMINISTERED AT 4 P.M. ON FRIDAY, (B)(6) 2025, PROGRAMMED RATE OF 1 ML/H PSE COMPLETED ON SATURDAY, (B)(6) 2025 AT 10 A.M., RATE RECORDED ON THE PSE AS 1 ML/H, THEREFORE ADMINISTRATION OVER 16 HOURS INSTEAD OF 24 HOURS."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
841872 PERFUSOR® PUMP, INFUSION, PCA MEA B BRAUN MELSUNGEN AG

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown