FDA Adverse Event Malfunction Summary report: N

PERFUSOR®

MDR report key: 24758082 · Received April 1, 2026

Report

Report Number
9610825-2026-00150
Event Type
Malfunction
Date Received
April 1, 2026
Date of Event
March 10, 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: ONE (B)(6) 2026,1605 HOURS, FENTANYL THERAPY OBSERVED TO BE 5.4ML REMAINING IN SYRINGE AFTER PRIMING.1610 HOURS SYRINGE OBSERVED TO STILL BE 5.4ML, PUMP PROGRAMMED TO 5.4ML VTBI WITH INFUSION RATE AT 0.2ML/HR. SETTINGS VERIFIED BY 2 PERSONNELS BEFORE COMMENCING THE INFUSION.1948 HOURS, DURING HANDOVER, SYRINGE NOTICE TO HAVE 2.0ML REMAINING. VTBI WAS AMENDED TO 2.0ML TO CORRESPOND TO REMAINING SYRINGE VOLUME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
201256 PERFUSOR® PUMP, INFUSION FRN B BRAUN MELSUNGEN AG 9700682310

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown