FDA Adverse Event Malfunction Summary report: N

PERFUSOR®

MDR report key: 23756238 · Received December 9, 2025

Report

Report Number
9610825-2025-00719
Event Type
Malfunction
Date Received
December 9, 2025
Date of Event
November 12, 2025
Report Date
December 9, 2025
Manufacturer
B BRAUN MELSUNGEN AG
Product Code
MEA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
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 REPORT 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. UDI NUMBER (B)(4). PREMARKET SUBMISSION # K092313.

Description of Event or Problem · 0

ACCORDING TO THE EVENT DESCRIPTION: "TOP UP OF NEW SYRINGE, IV KETAMINE 50ML AT 1000 HOURS, RUN AT 3ML/HR. ON (B)(6) 2025 AT1247 HOURS, WHEN CHECKED THE IV KETAMINE INFUSION SYRINGE PUMP, NOTED BALANCE(VTBI) LEFT 29.78 ML. PARAMETER CHECKED, AND WITHIN NORMAL RANGE. PATIENT AWAKE AND ALERT. ORIENTED. VERBALIZED PAIN SCORE IS 1 TO 2 NOW. DR YEO SOW NAM NOTIFIED."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2114986 PERFUSOR® PUMP, INFUSION, PCA MEA B BRAUN MELSUNGEN AG 96954462J4

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown