FDA Adverse Event Malfunction Summary report: N

PERFUSOR®

MDR report key: 24872833 · Received April 14, 2026

Report

Report Number
9610825-2026-00166
Event Type
Malfunction
Date Received
April 14, 2026
Date of Event
March 16, 2026
Report Date
April 14, 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 04046963716745 PREMARKET SUBMISSION # K092313, K172831, K191910.

Description of Event or Problem · 0

ACCORDING TO THE EVENT DESCRIPTION: 1419H STARTED WITH A SYRINGE OF 10ML DRUG, AFTER PRIMING SYRINGE VOLUME IS 8.4ML, RATE OF INFUSION IS 0.3ML/H. ON CHECKING AT 1530H, THE BALANCE VOLUME IN THE SYTRINGE IS 7.6ML. WITH AN INFUSION RATE OF 0.3ML/H, THE BALANCE SHOULD BE 8.1ML INSTEAD OF 7.6ML.ML NO PATIENT COMPLICATIONS WERE REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
940424 PERFUSOR® PUMP, INFUSION FRN B BRAUN MELSUNGEN AG 96965007J6

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown