FDA Adverse Event Malfunction Summary report: N

PUMP FREEDOM 60 100MG/ML

MDR report key: 24460794 · Received February 26, 2026

Report

Report Number
MW5184467
Event Type
Malfunction
Date Received
February 26, 2026
Report Date
February 20, 2026
Manufacturer
RMS MEDICAL / KORU MEDICAL SYSTEMS, INC.
Product Code
FRN
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
US
Reporter Occupation
003
Health Professional
N

Narratives

Description of Event or Problem · 0

PATIENT REPORTED THEIR FREEDOM PUMP BROKE WHILE DOING GAMUNEX INFUSION. PATIENT REPORTED THEY HAD TO WASTE 20GM FROM GAMUNEX. PUMP SERIAL NUMBER AND EXPIRATION UNKNOWN. NO FURTHER INFORMATION, DETAILS OR DATES AVAILABLE. PRODUCT LOT AND EXPIRATION UNKNOWN. UNKNOWN IF MD IS AWARE. DOSE/AMOUNT: GAMUNEX-C 10% SDV - 20GM. GAMUNEX-C 10%SDV INDICATION: NONFAMILIAL HYPOGAMMAGLOBULINEMIA; ANTIBODY DEFICIENCY WITH NEAR-NORMAL IMMUNOGLOBULINS OR WITH HYPERIMMUNOGLOBULINEMIA. DID PATIENT MISS A DOSE OR HAVE AN INTERRUPTION TO THERAPY? - UNKNOWN DID ADVERSE EVENT(S) RESULT DUE TO PRODUCT ISSUE? - UNKNOWN DID PHARMACY REPLACE DEVICE? ¿ YES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
513372 PUMP FREEDOM 60 100MG/ML PUMP, INFUSION FRN RMS MEDICAL / KORU MEDICAL SYSTEMS, INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Female GAMUNEX-C 10% SDV(20GM/200ML).