FDA Adverse Event Injury Summary report: N

SPECTRUM IQ INFUSION PUMP

MDR report key: 14439127 · Received May 19, 2022

Report

Report Number
1314492-2022-01957
Event Type
Injury
Date Received
May 19, 2022
Date of Event
December 29, 2021
Report Date
June 7, 2022
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
PMA / PMN Number
K173084
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE USER FACILITY SUBMITTED MEDWATCH MW5108368 FOR THIS EVENT. THE DEVICE WAS NOT RETURNED AND THE SERIAL NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

CORRECTED ADDITIONAL INFORMATION H10: THIS REPORTED PROBLEM IS POTENTIALLY WITHIN SCOPE OF FA 2021-056: SPECTRUM IQ (V9) AND V8 - DEVICE SAFETY SIGNAL FOR NON-DELIVERY AND UNDETECTED UPSTREAM OCCLUSION. BAXTER IS COMMUNICATING IMPORTANT SAFETY INFORMATION FOR SPECTRUM V8 AND SPECTRUM IQ INFUSION PUMPS RELATED TO POTENTIAL REDUCED OR NON-DELIVERY OF MEDICATION, IN SOME CASES WITHOUT ALERTING THE USER VIA PUMP ALARM. THIS MAY OCCUR AS A RESULT OF INCORRECT ADMINISTRATION SET SETUP AND/OR INCOMPLETE RESOLUTION OF UPSTREAM OCCLUSION ALARMS WHEN USING SPECTRUM V8 AND SPECTRUM IQ INFUSION PUMPS. AS DESCRIBED IN THE INSTRUCTIONS FOR USE (IFU), IT IS IMPERATIVE TO FULLY RESOLVE ANY UPSTREAM OCCLUSION BEFORE RESTARTING THE PUMP AFTER AN UPSTREAM OCCLUSION ALARM. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING PATIENT INFUSION WITH A SPECTRUM IQ PUMP, THE PATIENT BECAME HYPERTENSIVE AND HAD AN ELEVATED BISPECTRAL INDEX (BIS) SO THE INTRAVENOUS DRIPS WERE ASSESSED. THE PUMP SCREEN SHOWED 22 ML OF FLUID REMAINING, BUT THE BAG OF MEDICATION WAS "NEARLY FULL". THE PUMP SETTINGS WERE VERIFIED AND CORRECT. A DROP WAS SEEN FALLING IN THE TUBING CHAMBER. THE SPECTRUM PUMP WAS CHANGED AND THE MEDICATION WAS PLACED ON THE NEW PUMP. THE FLUID WAS OBSERVED APPROPRIATELY DECREASING FROM THE BAG AND THE PATIENT¿S BLOOD PRESSURE BEGAN TO NORMALIZE. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
286916 SPECTRUM IQ INFUSION PUMP PUMP, INFUSION FRN BAXTER HEALTHCARE CORPORATION NA NA

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention PARALYTIC MEDICATION