FDA Adverse Event
Malfunction
Summary report: N
COLLEAGUE CX VOLUMETRIC INFUSION PUMP
MDR report key: 1023132
·
Received April 3, 2008
Report
- Report Number
- 6000001-2007-03245
- Event Type
- Malfunction
- Date Received
- April 3, 2008
- Date of Event
- January 8, 2007
- Report Date
- January 8, 2007
- Manufacturer
- BAXTER HEALTHCARE PTE. LTD.
- Product Code
- FRN
- Removal / Correction Number
- CONTINUED ON H10
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
EVALUATION SUMMARY: THE CONDITION OF DAMAGED BATTERIES WITH 2 BATTERY DISCHARGES BELOW THE ALARM THRESHOLD WAS CONFIRMED. THE PUMP'S BATTERIES WERE REPLACED. REVIEW OF THE COMPLAINT HISTORY REVEALS SIMILAR REPORTS HAVE BEEN RECEIVED FOR THIS PRODUCT FOR THE REPORTED ISSUE. THIS ISSUE IS BEING INVESTIGATED.
Description of Event or Problem · 1
DURING PRODUCT EVALUATION, THE PUMP'S BATTERIES WERE FOUND TO BE DAMAGED WITH 2 BATTERY DISCHARGES BELOW THE ALARM THRESHOLD. THERE WAS NO PATIENT INJURY OR MEDICAL INTERVENTION NECESSARY ACCORDING TO THE HOSPITAL REPRESENTATIVE. NO ADDITIONAL INFORMATION IS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | COLLEAGUE CX VOLUMETRIC INFUSION PUMP | INFUSION PUMP | FRN | BAXTER HEALTHCARE PTE. LTD. | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |