FDA Adverse Event Malfunction Summary report: N

BAXTER SPECTRUM IQ PUMP

MDR report key: 13846872 · Received March 21, 2022

Report

Report Number
MW5108371
Event Type
Malfunction
Date Received
March 21, 2022
Date of Event
December 14, 2021
Report Date
March 17, 2022
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
NO INFORMATION
Health Professional
*

Narratives

Description of Event or Problem · 0

CHEMOTHERAPY INFUSION SETTINGS CORRECT CHECKED AT BEGINNING OF INFUSION WITH 2 RN'S. LINE INFUSING BUT 1 HOUR INTO INFUSION BAG FILL LARGER THAN WOULD EXPECT. TWO (2) RN'S CHECKED SETTINGS, THEY WERE CORRECT. CHECKED WITH PHARMACIST, CONTINUE INFUSION AT CURRENT RATE. AT COMPLETION PUMP STATING 808 ML INFUSED IN A 530 ML BAG. THIS PER PHARMACY IS NOT POSSIBLE. INFUSION COMPLETED. PUMP REMOVED FROM CIRCULATION AND INFORMATION, START/STOP TIME AND AMOUNT INFUSED DOCUMENT. BAXTER PUMP (B)(4). FDA SAFETY REPORT ID# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1134755 BAXTER SPECTRUM IQ PUMP PUMP, INFUSION FRN BAXTER HEALTHCARE CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 Unknown