FDA Adverse Event Malfunction Summary report: N

MEDFUSION

MDR report key: 13501392 · Received February 9, 2022

Report

Report Number
3012307300-2022-03071
Event Type
Malfunction
Date Received
February 9, 2022
Report Date
November 14, 2022
Manufacturer
ST PAUL
Product Code
FRN
UDI-DI
10610586043567
PMA / PMN Number
K111386
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

DEVICE EVALUATION: ONE SMITHS MEDICAL MEDFUSION PUMP WAS RETURNED FOR ANALYSIS WITH A CRACKS ON THE TOP CASE CORNERS AND BOTTOM CASE BY L-BRACKET. EVENT LOG HISTORY WAS PERFORMED AND INDICATED THAT PRIMARY AUDIBLE ALARM WAS RECORDED IN HISTORY. DURING ANALYSIS, THE REPORTED ISSUE WAS UNABLE TO BE DUPLICATED. BASED ON THE EVIDENCE, THE COMPLAINT WAS CONFIRMED, AND THE PROBLEM SOURCE OF THE REPORTED EVENT IS UNKNOWN. SERVICE REPLACED SPEAKER FOR PREVENTIVE.

Additional Manufacturer Narrative · 0

DEVICE EVALUATION: ONE SMITHS MEDICAL MEDFUSION PUMP WAS RETURNED FOR ANALYSIS WITH A CRACKS ON THE TOP CASE CORNERS AND BOTTOM CASE BY L-BRACKET. EVENT LOG HISTORY WAS PERFORMED AND INDICATED THAT PRIMARY AUDIBLE ALARM WAS RECORDED IN HISTORY. DURING ANALYSIS, THE REPORTED ISSUE WAS UNABLE TO BE DUPLICATED. BASED ON THE EVIDENCE, THE COMPLAINT WAS CONFIRMED, AND THE PROBLEM SOURCE OF THE REPORTED EVENT IS UNKNOWN. SERVICE REPLACED SPEAKER FOR PREVENTIVE.

Additional Manufacturer Narrative · 0

OTHER TEXT: B5: ADDITIONAL INFORMATION RECEIVED ON 09-NOV-2022 VIA EMAIL AND ATTACHED TO COMPLAINT OBJECT: FOR POST PAA-PRIMARY CONTINUOUS ALARMING. NO INCIDENT WAS REPORTED ON THE CLINICAL SIDE. H6: EVENT PROBLEM AND EVALUATION CODES: UPDATED. H3: DEVICE EVALUATED BY MANUFACTURER: UPDATED. H10: DEVICE EVALUATION: THE DEVICE WAS RETURNED FOR INVESTIGATION. VISUAL INSPECTION AND FUNCTIONAL TEST WERE PERFORMED. THE CUSTOMER REPORTED PROBLEM WAS NOT RELATED TO ANY PREVIOUS REPAIR. VISUAL INSPECTION FOUND THE DEVICE WITH THE TAMPER SEALS BROKEN. TOP CASE CORNERS CRACKED, AND BOTTOM CASE CRACKED BY L-BRACKET. THERE WAS EVIDENCE OF THE ERROR RECORDED IN THE EVENT HISTORY LOG. THE REPORTED PROBLEM WAS NOT DUPLICATED. THE INVESTIGATION WAS UNABLE TO DETERMINE THE CAUSE OF THE REPORTED PROBLEM AS NO DAMAGE WAS FOUND WITH THE SPEAKER. IT WAS RECOMMENDED TO HAVE THE SPEAKER REPLACED AS A PREVENTATIVE MEASURE. THE ROOT CAUSE OF THE REPORTED PROBLEM WAS UNDETERMINED/UNKNOWN. A MANUFACTURING DEVICE HISTORY RECORD REVIEW WAS NOT PERFORMED BECAUSE THE RESULTS OF THE COMPLAINT INVESTIGATION DO NOT INDICATE A PROBLEM WITH THE MANUFACTURE OF THE DEVICE. NO CAUSES OR POTENTIAL CAUSES OF THE CUSTOMERS REPORTED PROBLEM WERE FOUND DURING THE REVIEW OF SERVICE AND REPAIR RECORDS. THE DEVICE IS OVER THREE YEARS OLD. AN INTERNAL CAPA HAS BEEN OPENED AND THIS ISSUE WILL BE MONITORED FOR ANY INCREASE IN OCCURRENCE. IF THE OCCURRENCE OF THIS ISSUE INCREASES SIGNIFICANTLY, ADDITIONAL CORRECTIVE ACTIONS WILL BE TAKEN., CORRECTED DATA: CORRECTION: D4: MODEL NUMBER: 4000.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CONTINUOUS PRIMARY AUDIBLE ALARM WAS EXPERIENCED.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CONTINUOUS PRIMARY AUDIBLE ALARM WAS EXPERIENCED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
326631 MEDFUSION PUMP, INFUSION FRN ST PAUL 4000 10610586043567

Patients

Seq Age Sex Outcome Treatment
1 Unknown