FDA Adverse Event Malfunction Summary report: N

HEMODIALYSIS BLOODLINES

MDR report key: 23359130 · Received October 22, 2025

Report

Report Number
2521402-2025-01189
Event Type
Malfunction
Date Received
October 22, 2025
Date of Event
September 24, 2025
Report Date
February 16, 2026
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
NJ, 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). NO SAMPLE AND/OR LOT NUMBER WAS PROVIDED FOR EVALUATION; HOWEVER, B. BRAUN MEDICAL INC. (BBMI) HAS 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.

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: LOT NUMBER PROVIDED WAS A250021. THIS NUMBER DOES NOT VALIDATE IN THE SAP SYSTEM. LOT NUMBER LISTED AS UNKNOWN IN THIS REPORT UNTIL MORE INFORMATION IS PROVIDED.

Description of Event or Problem · 0

AS REPORTED BY THE USER FACILITY: REASON OF COMPLAINT: OBSERVED 3 BLOOD LINES IN ONE LOT TO HAVE MICRO BUBBLES AT ARTERIAL ACCESS CONNECTION. USED DIFFERENT LOT NUMBER AND OBSERVED THE SAME. SECOND LOT NUMBER WAS A250021.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
222650 HEMODIALYSIS BLOODLINES SET, TUBING, BLOOD, WITH AND WITHOUT ANTI-REGURGITATION VALVE FJK B. BRAUN MEDICAL INC. 04046964367786

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown