FDA Adverse Event Malfunction Summary report: N

INTROCAN SAFETY® 3

MDR report key: 24163147 · Received January 23, 2026

Report

Report Number
9610825-2026-00008
Event Type
Malfunction
Date Received
January 23, 2026
Date of Event
December 1, 2025
Report Date
January 23, 2026
Manufacturer
B BRAUN MELSUNGEN AG
Product Code
FOZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL INTERNAL REPORT NUMBER (B)(4). DEVICE HISTORY RECORD (DHR): REVIEWED THE DEVICE HISTORY RECORD FOR BATCH NUMBER 25D24G8931 AND THERE WERE NO DEFECT ENCOUNTERED DURING IN PROCESS AND FINAL CONTROL PRODUCT INSPECTION. EVIDENCE AT DISPOSAL: NO ACTUAL SAMPLE WAS RETURNED TO BMI FOR INVESTIGATION. RECEIVED 6 PCS OF PICTURES AND A VIDEO FROM THE CUSTOMER. INVESTIGATION WILL BE CARRIED OUT BASED ON PICTURES AND VIDEO ATTACHED. INVESTIGATION STATEMENT: FROM THE PICTURES AND VIDEO, OBSERVED THE ROLLER CLAMP WAS IN CLAMPED POSITION (CLOSED) WHICH BLOCKED THE SOLUTION IN THE TUBING TO FLOW. BESIDES, THE CONNECTION BETWEEN EXTENSION CONNECTOR AND CATHETER HUB PUSHED THE SEPTUM OPENER, CAUSING THE VALVE TO OPEN. WHEN THE EXTENSION CONNECTOR IS ATTACHED (CONNECTED) TO THE CATHETER HUB, THE CONNECTOR PRESSES AGAINST THE SEPTUM OPENER. THIS PRESSURE PUSHED THE VALVE IN THE CATHETER HUB INTO AN OPEN POSITION. AS RESULT, THE VALVE REMAINED OPENED AND ALLOWS THE BACKFLOW TO OCCUR. SINCE THE SOLUTION IN TUBING WAS NOT FLOWING INTO THE VEINS, THIS CREATED THE DIFFERENT PRESSURE THAT CAUSED BLOOD FROM PATIENT'S VEINS TO BACKFLOW INTO TUBING. THIS PHENOMENON IS COMMON WHEN THE IV TUBING IS CLAMPED (THE SOLUTION WAS NOT FLOWING) AND THE VALVE IN OPENED CONDITION. ASSEMBLY PROCESS CARD WAS REVIEWED. NO ABNORMALITY DURING MANUFACTURING OF THE COMPLAINT BATCH. THEREFORE, THIS COMPLAINT IS CONCLUDED AS NOT CONFIRMED. 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. IT IS BEING REPORTED DUE TO A SIMILAR DEVICE BEING MARKETED WITHIN THE US WITH THE FOLLOWING INFO: PREMARKET SUBMISSION # K213085.

Description of Event or Problem · 0

ACCORDING TO THE COMPLAINANT, TWO ISSUES WERE IDENTIFIED WITH INTROCAN SAFETY 3 DEVICES FROM A SINGLE LOT. DURING CATHETER INSERTION, BLOOD LEAKAGE WAS OBSERVED DESPITE REMOVAL OF THE TOURNIQUET PRIOR TO NEEDLE WITHDRAWAL AND THE NEEDLE BEING WITHDRAWN STRAIGHT AFTER INSERTION. IN A SEPARATE OBSERVATION INVOLVING THE SAME LOT, AFTER CONNECTING THE CATHETER TO THE INFUSION SET, BLOOD REFLUXED INTO THE IV TUBING APPROXIMATELY TWO (2) MINUTES AFTER INITIATION OF THE INFUSION, DESPITE USING AN INTRAFIX SAFESET AND CLAMPING OF THE ROLLER CLAMP. NO PATIENT INJURY OR ADVERSE CLINICAL OUTCOMES WERE REPORTED AS A RESULT OF THESE EVENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
228935 INTROCAN SAFETY® 3 CATHETER,INTRAVASCULAR FOZ B BRAUN MELSUNGEN AG 25D24G8931

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown