FDA Adverse Event
Malfunction
Summary report: N
SPECTRUM IQ INFUSION PUMP
MDR report key: 15036488
·
Received July 16, 2022
Report
- Report Number
- 1314492-2022-02985
- Event Type
- Malfunction
- Date Received
- July 16, 2022
- Report Date
- July 19, 2022
- Manufacturer
- BAXTER HEALTHCARE CORPORATION
- Product Code
- FRN
- PMA / PMN Number
- K220417
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
CATALOGUE # - A PARTIAL PRODUCT CODE OF 35700 WAS PROVIDED. 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
CORRECTION B5: IT WAS REPORTED THAT THE SPECTRUM IQ PUMP TOOK TOO LONG TO ALARM FOR AN UPSTREAM OCCLUSION ON SLOW DRIPS. H6 MEDICAL DEVICE PROBLEM CODE: SHOULD BE A070908 RATHER THAN A160105.
Description of Event or Problem · 0
IT WAS REPORTED THAT A SPECTRUM PUMP ALARMED UPSTREAM OCCLUSION AND PROGRAMING SLOW DURING THERAPY AT THE INTENSIVE CARE UNIT. NO ADDITIONAL INFORMATION IS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 945040 | SPECTRUM IQ INFUSION PUMP | PUMP, INFUSION | FRN | BAXTER HEALTHCARE CORPORATION | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |