| Brand Name | EASYPUMP |
| Common Device Name | PUMP, INFUSION, ELASTOMERIC |
| Manufacturer (Section D) |
| B. BRAUN MELSUNGEN AG |
| carl-braun strabe 1 |
| melsungen, hessen 34212 |
| GM 34212 |
|
| Manufacturer (Section G) |
| B. BRAUN MELSUNGEN AG |
| carl-braun strabe 1 |
|
| melsungen, hessen 34212 |
|
GM
34212
|
|
| Manufacturer Contact |
|
elena
reifenstein
|
| 901 marcon blvd |
| allentown, PA 18109
|
|
4847197287
|
|
| MDR Report Key | 25233645 |
| Report Number | 9610825-2026-00264 |
| Device Sequence Number | 5081672 |
| Product Code |
MEB
|
| UDI-Device Identifier | 04046964448607 |
| UDI-Public | (01)04046964448607(11)240903(17)290901(10)24K03GE551 |
| Combination Product (Y/N) | N |
| Initial Reporter State | VA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K081905 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup,Followup |
| Report Date (Section B) |
07/15/2026 |
| 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 Catalogue Number | 4540016-02 |
| Device Lot Number | 24K03GE551 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 05/12/2026 |
| Supplement Date Received by Manufacturer | Not provided Not provided
|
| Initial Report FDA Received Date | 05/20/2026 |
| Supplement Report FDA Received Date | 06/19/2026 07/15/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 09/03/2024 |
| 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 |