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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ERIKA DE REYNOSA, S.A. DE C.V. LIBERTY CYCLER SET, SINGLE CONN./EXT. DL; System, Peritoneal, Automatic Delivery

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ERIKA DE REYNOSA, S.A. DE C.V. LIBERTY CYCLER SET, SINGLE CONN./EXT. DL; System, Peritoneal, Automatic Delivery Back to Search Results
Catalog Number 050-87216
Medical Device Problem Code Fluid/Blood Leak (1250)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/02/2026
Type of Reportable Event Malfunction
Event or Problem Description
A peritoneal dialysis (pd) patient (pt) reported to fresenius medical care (fme) technical service (ts) on (b)(6) 2026 that fluid was discovered during tx complete - step 9 remove cassette and the patient was not connected during incident.Fluid was discovered in the pump module area, and fluid was discovered on the external of the cassette.Fluid leaked from the inside of the cycler door and there were alarms/warnings prior to leak.Advised discontinuing use of this cycler and replaced the cycler due to fluid leak.The ts advised the patient to contact peritoneal dialysis registered nurse (pdrn) to inform of replacement.Additional information was requested, however to date has not been provided.
 
Additional Manufacturer Narrative
The plant investigation is in process.A supplemental mdr will be submitted upon completion of this activity.
 
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Brand Name
LIBERTY CYCLER SET, SINGLE CONN./EXT. DL
Common Device Name
System, Peritoneal, Automatic Delivery
Manufacturer (Section D)
ERIKA DE REYNOSA, S.A. DE C.V.
mike allen #1331
parque industrial reynosa
reynosa 88780
MX  88780
Manufacturer (Section G)
ERIKA DE REYNOSA, S.A. DE C.V.
director, quality systems
900 w zaragosa drive suite d
pharr TX 78577
Manufacturer Contact
jessica trujillo
920 winter st
waltham, MA 02451
+1(617)417-5172
MDR Report Key50849737
Report Number0008030665-2026-02522
Device Sequence Number13245915
Product Code FKX
UDI-Device Identifier00840861100750
UDI-Public00840861100750
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
K173718
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 09/22/2026
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 Catalogue Number050-87216
Device Lot NumberUnknown
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Device AgeMO
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/02/2026
Initial Report FDA Received Date09/22/2026
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
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 Number1
Concomitant Medical Products
and Therapy/Usage Dates
Delflex PD Fluid; Liberty Select Cycler
Patient SexUnknown
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