MalfunctionMEB
FOLFUSOR
Received Jul 1, 2026 · Event occurred May 13, 2026
Report 1416980-2026-02205 · MDR key 25678779
Device
Generic name
Pump, Infusion, Elastomeric
Manufacturer
Baxter Healthcare CorporationModel number
2C4711KCatalog number
2C4711K
Lot number
25E006
Product problems
- Disconnection
- Fluid/Blood Leak
Patient
Unknown
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
E1: INITIAL REPORTER POSTAL CODE: (B)(6). SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.
Description of Event or Problem
IT WAS REPORTED THAT A SMALL VOLUME FOLFUSOR DISCONNECTED FROM A PORT A CATH, RESULTING IN A LEAK DURING PATIENT INFUSION. THIS OCCURRED WHEN THE PATIENT WAS APPROXIMATELY 10 TO 12 HOURS INTO THE INFUSION. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.