FDA Adverse Event Malfunction Summary report: N

SPECTRUM IQ INFUSION PUMP

MDR report key: 15337825 · Received September 1, 2022

Report

Report Number
1314492-2022-03776
Event Type
Malfunction
Date Received
September 1, 2022
Report Date
September 1, 2022
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
UDI-DI
00085412610900
PMA / PMN Number
K220417
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS RECEIVED FOR EVALUATION. DURING FUNCTIONAL FLOW ACCURACY TESTING, AN UNDERINFUSION WAS NOT REPRODUCED. A SERVICE HISTORY REVIEW WAS PERFORMED AND REVEALED THAT THE DEVICE HAS NO PREVIOUS SERVICE EVENTS; THEREFORE, SERVICING DID NOT CAUSE OR CONTRIBUTE TO THE REPORTED EVENT. THE REPORTED CONDITION WAS NOT VERIFIED. THERE IS CURRENTLY AN OPEN FIELD ACTION (FA-2021-056) ASSOCIATED WITH REINFORCING PROPER INTRAVENOUS LINE SETUP AND DETECTION OF UPSTREAM OCCLUSION FOR SPECTRUM PUMPS. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT A SPECTRUM IQ PUMP UNDERINFUSED DURING PRECEDEX TREATMENT IN THE GENERAL PATIENT WARD. NO MEDICATION HAD BEEN INFUSED FOR THE ENTIRE NIGHT, AND THE PUMP READ THAT THE VOLUME INFUSED WAS 249ML. THE BAG WAS CLAMPED AND HAD NOT DRIPPED. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2323159 SPECTRUM IQ INFUSION PUMP PUMP, INFUSION FRN BAXTER HEALTHCARE CORPORATION NA NA 00085412610900

Patients

Seq Age Sex Outcome Treatment
1 Unknown