FDA Adverse Event No answer provided Summary report: N

SPECTRUM IQ

MDR report key: 12922900 · Received December 3, 2021

Report

Report Number
12922900
Event Type
No answer provided
Date Received
December 3, 2021
Date of Event
October 23, 2021
Report Date
November 16, 2021
Manufacturer
BAXTER INTERNATIONAL INC.
Product Code
FRN
Report Source
User Facility report
Reporter Location
CT
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

NO UPSTREAM ALARMS NOTED WHEN LEVO WAS NOT INFUSING, SIGNIFICANT INCREASED LEVO REQUIREMENT OVER THE COURSE OF THE DAY, ADDED VASO. ALINE INSERTED. VOLUME IN BAG DID NOT MATCH WHAT THE PUMP WAS SAYING FOR HOW MUCH WAS LEFT. FOUND CRIMP IN LINE WHEN SWITCHING CONCENTRATION. PUMP SEQUESTERED BY RN. CLINICAL ENGINEERING INTERROGATED THE PUMP. THEY FOUND THERE WERE 8 UPSTREAM OCCLUSION ALARMS IN THE TWO DAYS PRIOR, BUT THE PUMP TUBING WAS NOT RELOADED SO IT DID NOT ALARM AGAIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1825940 SPECTRUM IQ PUMP, INFUSION FRN BAXTER INTERNATIONAL INC. 35700009

Patients

Seq Age Sex Outcome Treatment
1 Unknown