inforMED
MalfunctionMEB

FOLFUSOR

Received Jul 3, 2026

Report 1416980-2026-02236 · MDR key 25707105

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

Additional Manufacturer Narrative

E1: INITIAL REPORTER FIRST NAME: (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 LEAKED BETWEEN THE COLORED CAP AND THE PLASTIC HOUSING CONTAINING THE BALLOON. THE LEAK WAS IDENTIFIED DURING REMOVAL OF THE DEVICE FROM THE TRANSPORT CONTAINER AND PREPARATION FOR ADMINISTRATION. THE DEVICE WAS FILLED WITH 104 ML OF 5 FLUOROURACIL AND 17 ML OF 0.9% SALINE FOR A TOTAL FILL VOLUME OF 121 ML. THERE WAS NO PATIENT INVOLVEMENT. NO ADDITIONAL INFORMATION IS AVAILABLE.