FDA Adverse Event Malfunction Summary report: N

PERFUSOR®

MDR report key: 24715269 · Received March 30, 2026

Report

Report Number
9610825-2026-00126
Event Type
Malfunction
Date Received
March 30, 2026
Date of Event
March 4, 2026
Report Date
May 4, 2026
Manufacturer
B BRAUN MELSUNGEN AG
Product Code
FRN
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 INTERNAL REPORT NUMBER (B)(4). A FOLLOW-UP REPORT WILL BE PROVIDED AFTER THE EXAMINATION RESULTS ARE AVAILABLE. 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: UDI NUMBER (B)(4). PREMARKET SUBMISSION # K092313, K172831, K191910.

Description of Event or Problem · 0

ACCORDING TO THE EVENT DESCRIPTION: PALLIATIVE TEAM PRESCRIBED SUBCUTANEOUS (SC) MORPHINE 20MG IN 20ML NORMAL SALINE TO BE ADMINISTERED AT 0.2MG/HOUR VIA SYRINGE PUMP. THE AFTERNOON SHIFT STAFF COMMENCED THE INFUSION AT 1805 HOURS. DURING THE 2030 HOURS HANDOVER, SN RACHEL NOTED THE SYRINGE CONTAINED 19ML. HOWEVER, WHEN SHE CHECKED AGAIN AT 0030 HOURS, THE VOLUME REMAINED UNCHANGED AT 19ML.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
330633 PERFUSOR® PUMP, INFUSION FRN B BRAUN MELSUNGEN AG 96973148F8

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown