FDA Adverse Event Malfunction Summary report: N

SPECTRUM IQ IV PUMP

MDR report key: 14168671 · Received April 20, 2022

Report

Report Number
MW5109215
Event Type
Malfunction
Date Received
April 20, 2022
Date of Event
December 14, 2021
Report Date
April 18, 2022
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
US
Reporter Occupation
501
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; 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
2716658 SPECTRUM IQ IV PUMP PUMP, INFUSION FRN BAXTER HEALTHCARE CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 Unknown