inforMED
MalfunctionMEB

FOLFUSOR

Received Jul 13, 2026 · Event occurred Jun 15, 2026

Report 1416980-2026-02309 · MDR key 25803792

Device

Generic name

Pump, Infusion, Elastomeric

Model number

M2C4063K

Catalog number

M2C4063K

Lot number

25D026

Product problems

  • Fluid/Blood Leak

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

IT WAS REPORTED THAT A LARGE VOLUME FOLFUSOR HAD LIQUID/DROPLETS INSIDE THE YELLOW BAG. THE ISSUE WAS IDENTIFIED PRIOR TO USE DURING DISPENSING AND CHECKING OF THE DEVICE. THE DEVICE WAS FILLED WITH 13500 MG OF PIPERACILLIN/TAZOBACTAM IN 230 ML 0.9% SODIUM CHLORIDE WITH CITRATE. THERE WAS NO PATIENT INVOLVEMENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

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