FDA Adverse Event Injury Summary report: N

VOLUMAT MC AGILIA BR

MDR report key: 25340417 · Received May 29, 2026

Report

Report Number
3000240707-2026-00214
Event Type
Injury
Date Received
May 29, 2026
Date of Event
May 22, 2026
Report Date
May 29, 2026
Manufacturer
FRESENIUS VIAL S.A.S
Product Code
FRN
PMA / PMN Number
K121613
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

N/A

Description of Event or Problem · 0

THE FOLLOWING HAS BEEN REPORTED: PATIENT PRESENTED AST (ASPARTATE AMINOTRANSFERASE) INCREASED, ALT (ALANINE AMINOTRANSFERASE) INCREASED, HYPERSENSITIVITY REACTION, AND FLUID RETENTION DURING THE INFUSION. AFTER THE ONSET OF THE ADVERSE REACTION, THE CHEMOTHERAPY INFUSION WAS TEMPORARILY INTERRUPTED (TREATMENT PAUSE), FOLLOWED BY DISCONTINUATION AFTER THE ADVERSE EVENT. MEDICATION: DOCETAXEL START OF MEDICATION USE: (B)(6) 2026 09:25 INFUSION INTERRUPTION AFTER THE ONSET OF THE ADR: 15/MAY/2026 09:25 DISCONTINUATION AFTER THE ADVERSE EVENT. REPORTING AS A CONSERVATIVE MEASURE. ADVERSE EVENT EFFECTS WERE REPORTED. ADDITIONAL INFORMATION IS NEEDED TO COMPLETE THE INVESTIGATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
391341 VOLUMAT MC AGILIA BR INFUSION PUMP SYSTEM FRN FRESENIUS VIAL S.A.S Z019140

Patients

Seq Age Sex Outcome Treatment
1