FDA Adverse Event Malfunction Summary report: N

NEPHROS

MDR report key: 23657689 · Received November 26, 2025

Report

Report Number
3003337893-2025-00001
Event Type
Malfunction
Date Received
November 26, 2025
Date of Event
October 16, 2025
Report Date
November 14, 2025
Manufacturer
NEPHROS
Product Code
NHV
UDI-DI
20896241002385
PMA / PMN Number
K141731
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ID, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

ADDITIONA INFORMATION: THIS MDR WAS REPORTED LATE AS NEPHROS IS AWAITING FDA ESG NEXTGEN ACCOUNT SETUP/VERIFICATION.

Description of Event or Problem · 0

ON 10/16/2025 IT WAS REPORTED THAT A HEALTHCARE FACILITY RECEIVED A POSITIVE CULTURE DOWNSTREAM OF A DSU-H (70-0285) IN ONE OF THEIR ICE MACHINES. THERE WERE NO REPORTED ADVERSE EVENTS. NEPHROS DSU-H IS AN IN-LINE WATER FILTER, CLASS II MEDICAL DEVICE THAT IS PLACED BEFORE ICE MACHINES IN HEALTH CARE FACILITIES IN ORDER TO RETAIN BACTERIA, VIRUS AND ENDOTOXIN. THE USER FACILITY ROUTINELY TEST THEIR WATER AT THEIR ICE MACHINE AND FOUND THAT THERE WAS POSITIVE BACTERIA DETECTED. A POSITIVE CULTURE CAN BE CAUSED BY AN IMPROPER DISINFECTION OF THE ICE MACHINE OR WATER LINES LEADING TO THE ICE MACHINE, AND/OR A BREACH OF THE FILTER MEMBRANE. THE ROOT CAUSE OF THE POSITIVE CULTURE COULD NOT BE CONFIRMED AS THE FILTER WAS NOT RETURNED FOR ADDITIONAL INVESTIGATION. COMPREHENSIVE REVIEW OF THE SPECIFIC FILTER DEVICE HISTORY RECORD AND MANUFACTURING INSPECTIONS DID NOT IDENTIFY ANY PRODUCT ISSUES INCLUDING DEVICE MALFUNCTION/DEFECT. ADDITIONAL INFORMATION INCLUDING RETURN OF THE DEVICE ARE NEEDED TO FULLY INVESTIGATE THE EVENT. IF ADDITIONAL INFORMATION IS RECEIVED, A SUPPLEMENTAL/FOLLOW-UP REPORT WILL BE SUBMITTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1947608 NEPHROS DSU-H NHV NEPHROS DSU-H PI25/0086 20896241002385

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown