FDA Adverse Event Malfunction Summary report: N

COLLEAGUE CX VOLUMETRIC INFUSION PUMP.

MDR report key: 1024019 · Received April 5, 2008

Report

Report Number
6000001-2007-03352
Event Type
Malfunction
Date Received
April 5, 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
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE CONDITION OF DEPLETED MAIN BATTERIES IDENTIFIED DURING PRODUCT EVALUATION WAS CONFIRMED. INSPECTION OF THE DEVICE FOUND THE PUMP'S MAIN BATTERIES WERE POTENTIALLY DAMAGED AND THEREFORE THE BATTERIES WERE REPLACED. REVIEW OF THE COMPLAINT HISTORY REVEALS SIMILAR REPORTS HAVE BEEN RECEIVED FOR THIS PRODUCT FOR THE REPORTED ISSUE. THIS ISSUE IS CURRENTLY BEING INVESTIGATED.

Description of Event or Problem · 1

DURING PRODUCT EVALUATION, THE PUMP'S MAIN BATTERIES WERE IDENTIFIED AS DEPLETED. 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