inforMED
MalfunctionMEB

FOLFUSOR

Received Jul 3, 2026 · Event occurred Jun 5, 2026

Report 1416980-2026-02231 · MDR key 25702786

Device

Generic name

Pump, Infusion, Elastomeric

Model number

D2C4705K

Catalog number

D2C4705K

Lot number

24N001

Product problems

  • Fluid/Blood Leak

Patient

Not reported

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

IT WAS REPORTED THAT A SMALL VOLUME FOLFUSOR LEAKED, WITH FREE LIQUID OBSERVED 'BETWEEN THE PAINT CAP AND THE PLASTIC BODY WHERE THE BALLOON IS LOCATED'. THE LEAK WAS IDENTIFIED DURING REMOVAL OF THE DEVICE FROM THE TRANSPORT CONTAINER AND PREPARATION FOR ADMINISTRATION. THE DEVICE WAS FILLED WITH 104 ML 5-FLUOROURACIL AND 17 ML 0.9% SALINE, RESULTING IN A TOTAL FILL VOLUME OF 121 ML. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

E1: INITIAL REPORTER FIRST NAME: (B)(6). SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.