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