| Brand Name | FREEDOM60® |
| Common Device Name | Freedom60 Infusion Pump |
| Manufacturer (Section D) |
| KORU Medical Systems |
| 100 corporate drive |
| mahwah NJ 07430 |
|
| Manufacturer (Section G) |
| KORU Medical Systems |
| 100 corporate drive |
|
| mahwah NJ 07430 |
|
| Manufacturer Contact |
|
christine
trefethen
|
| 100 corporate drive |
| mahwah, NJ 07430
|
|
+1(845)610-5578
|
|
| MDR Report Key | 50434823 |
| Report Number | 1318360-2026-00020 |
| Device Sequence Number | 9479267 |
| Product Code |
FRN
|
| UDI-Device Identifier | 00659443004450 |
| UDI-Public | 00659443004450 |
| Combination Product (Y/N) | N |
| Initial Reporter State | AL |
| Initial Reporter Country | US |
| PMA/510(K) Number | K231918 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Initial Reporter Occupation |
Pharmacist
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/25/2026 |
| 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 |
Lay User/Patient
|
| Device Model Number | F10050-A |
| Device Lot Number | A.87522 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/04/2026 |
| Initial Report FDA Received Date | 08/25/2026 |
| Date Device Manufactured | 12/16/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Female |
|
|