FDA Adverse Event Malfunction Summary report: N

U0707 ARENA MACHINE 2 PUMPSWITH NIBP

MDR report key: 1001125 · Received February 15, 2008

Report

Report Number
1423500-2008-00089
Event Type
Malfunction
Date Received
February 15, 2008
Date of Event
January 16, 2008
Report Date
January 18, 2008
Manufacturer
BAXTER HEALTHCARE CORPORATION- LARGO
Product Code
KDI
PMA / PMN Number
K030099
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE FIELD SERVICE TECHNICIAN PERFORMED AN EVALUATION OF THE DEVICE ON-SITE. DURING THE ASSESSMENT, THE DEVICE ALARMED DURING THE SELF-TEST. TRANSMEMBRANE PRESSURE (TMP) UNSTABLE. THE TECHNICIAN CHANGED THE UF FLOW METER DIAPHRAGM AND CALIBRATED THE UF. NO PROBLEM WAS DETECTED IN THE HYDRAULIC OF THE SYSTEM (NO LEAKS OR DEFECTIVE PARTS). THE DEVICE WAS PLACED BACK INTO SERVICE. NO FURTHER ISSUES HAVE BEEN REPORTED. THIS DEVICE WAS INSTALLED 8-8-2007 AND NO ANOMALIES RELATED TO THE UF HAD BEEN REPORTED. BAXTER IS MONITORING ISSUES LIKE THIS. SHOULD SIGNIFICANT INFO BECOME AVAILABLE A FOLLOW UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

THIS IS A CASE REPORTED BY A FOREIGN COUNTRY ABOUT AN INCIDENT: THE DEVICE PERFORMED THREE HD TREATMENTS BEFORE THE OPERATOR REMOVED IT FROM THE SERVICE AND GAVE THE REPORT TO THE BIOMEDICAL TECHNICIAN. IN THE THREE TREATMENTS THE DEVICE REMOVED 500-600 G MORE THAN THE UF TARGET PROGRAMMED BY THE OPERATOR. THIS REPORT IS THE FIRST OF THREE TREATMENTS. THE FACILITY HAS NOT SHARED ANY FURTHER INFO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 U0707 ARENA MACHINE 2 PUMPSWITH NIBP 78KDI KDI BAXTER HEALTHCARE CORPORATION- LARGO

Patients

Seq Age Sex Outcome Treatment
1