| Brand Name | PINNACLE® |
| Common Device Name | CONTAINER, I.V. |
| Manufacturer (Section D) |
| B. Braun Medical Inc. |
| 824 12th avenue |
| bethlehem PA 18018 |
|
| Manufacturer (Section G) |
| B. Braun Medical Inc. |
| 824 12th avenue |
|
| bethlehem PA 18018 |
|
| Manufacturer Contact |
|
elena
reifenstein
|
| 824 12th ave |
| bethlehem, PA 18018
|
|
+1(833)425-1464
|
|
| MDR Report Key | 50898565 |
| Report Number | 2521402-2026-00869 |
| Device Sequence Number | 6026566 |
| Product Code |
KPE
|
| UDI-Device Identifier | 04046964200700 |
| UDI-Public | (01)04046964200700(11)260201(17)290130(10)26B24 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TN |
| Initial Reporter Country | US |
| PMA/510(K) Number | K041415 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/25/2026 |
| 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 |
Health Professional
|
| Device Catalogue Number | 2112349 |
| Device Lot Number | 26B24 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 09/09/2026 |
| Initial Report FDA Received Date | 09/25/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 02/01/2026 |
| 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 |