FDA Adverse Event Malfunction Summary report: N

SAPPHIRE INFUSION PUMP- ENGLISH

MDR report key: 24066221 · Received January 14, 2026

Report

Report Number
3010293992-2026-00005
Event Type
Malfunction
Date Received
January 14, 2026
Date of Event
December 29, 2025
Report Date
March 26, 2026
Manufacturer
EITAN MEDICAL LTD.
Product Code
FRN
UDI-DI
7290109153339
PMA / PMN Number
K192860
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION TYPE: EITAN MEDICAL INVESTIGATED THE PUMP. INVESTIGATION FINDINGS: NO INDICATION OF ANY FAILURE THAT COULD HAVE CAUSED OR CONTRIBUTED TO THE COMPLAINT WAS OBSERVED. THE PUMP'S ACCURACY WAS TESTED AND FOUND TO MEET SPECIFICATIONS. CONCLUSION: THE PUMP'S ACCURACY MEETS SPECIFICATIONS. NO FAILURE WAS FOUND. THIS REPORTED EVENT OCCURRED OUTSIDE OF THE US ON A DEVICE THAT IS SIMILAR TO THE ONE MARKETED IN THE US AND FOR WHICH THERE IS NO DATA IN GUDID. DEVICE'S PREMARKET SUBMISSION NUMBER: K192860.

Additional Manufacturer Narrative · 0

EITAN MEDICAL REQUESTED ADDITIONAL INFORMATION ABOUT THE EVENT FROM THE CUSTOMER, THE PUMP AND EVENT LOG FOR INVESTIGATION. TO DATE, NONE WERE RECEIVED. WHEN RECEIVED, THE INVESTIGATION FINDINGS WILL BE DETAILED IN A FOLLOW-UP REPORT. THIS REPORTED EVENT OCCURRED OUTSIDE OF THE US ON A DEVICE THAT IS SIMILAR TO THE ONE MARKETED IN THE US AND FOR WHICH THERE IS NO DATA IN GUDID. DEVICE'S PREMARKET SUBMISSION NUMBER: K192860.

Description of Event or Problem · 0

THIS COMPLAINT WAS REPORTED BY A CUSTOMER FROM UK. A DELIVERY ISSUE WAS REPORTED. IT WAS REPORTED THAT NO HUMAN HARM OCCURRED AND NO MEDICAL INTERVENTION WAS REQUIRED. SINCE THE LIKELIHOOD OF CAUSING OR CONTRIBUTING TO DEATH OR SERIOUS INJURY COULD NOT BE DETERMINED DUE TO INSUFFICIENT INFORMATION ABOUT THE TYPE OF DRUG INVOLVED, THE COMPLAINT IS BEING REPORTED OUT OF AN ABUNDANCE OF CAUTION

Description of Event or Problem · 0

THIS COMPLAINT WAS REPORTED BY A CUSTOMER FROM UK. A DELIVERY ISSUE WAS REPORTED. IT WAS REPORTED THAT NO HUMAN HARM OCCURRED AND NO MEDICAL INTERVENTION WAS REQUIRED. SINCE THE LIKELIHOOD OF CAUSING OR CONTRIBUTING TO DEATH OR SERIOUS INJURY COULD NOT BE DETERMINED DUE TO INSUFFICIENT INFORMATION ABOUT THE TYPE OF DRUG INVOLVED, THE COMPLAINT IS BEING REPORTED OUT OF AN ABUNDANCE OF CAUTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
134763 SAPPHIRE INFUSION PUMP- ENGLISH INFUSION PUMP FRN EITAN MEDICAL LTD. 7290109153339

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown