| Brand Name | VOLUMAT LINE |
| Common Device Name | PUMP, INFUSION |
| Manufacturer (Section D) |
| FRESENIUS KABI DEUTSCHLAND GMBH |
| 5 robert-koch-strasse |
| bad hersfeld, hessen 36521 |
| GM 36521 |
|
| Manufacturer (Section G) |
| FRESENIUS KABI DEUTSCHLAND GMBH |
| 5 robert-koch-strasse |
|
| bad hersfeld, hessen 36521 |
|
GM
36521
|
|
| Manufacturer Contact |
|
rebecca
mccandless
|
| 3 corporate drive |
| lake zurich, IL 60047
|
|
| MDR Report Key | 24646758 |
| Report Number | 9681819-2026-00014 |
| Device Sequence Number | 9842115 |
| Product Code |
FRN
|
| UDI-Device Identifier | 04250273733860 |
| UDI-Public | 04250273733860 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K121613 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
User Facility |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial |
| Report Date (Section B) |
03/20/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | VL SP40-11 |
| Device Catalogue Number | M46445475 |
| Device Lot Number | 32341465 |
| Was Device Available for Evaluation? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 02/18/2026 |
| Initial Report FDA Received Date | 03/20/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 08/18/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|