PERFUSOR®
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
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.
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 |