FDA Adverse Event
Malfunction
Summary report: N
SPECTRUM IQ INFUSION PUMP
MDR report key: 17126939
·
Received June 14, 2023
Report
- Report Number
- 1314492-2023-02156
- Event Type
- Malfunction
- Date Received
- June 14, 2023
- Report Date
- June 14, 2023
- Manufacturer
- BAXTER HEALTHCARE CORPORATION
- Product Code
- FRN
- PMA / PMN Number
- K222048
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
B3: IT WAS REPORTED THAT THE EVENT DATE WAS 23-MAY-2023 / 24-MAY-2023 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.
Description of Event or Problem · 0
IT WAS REPORTED THAT A SPECTRUM IQ PUMP HAD INCREASED UPSTREAM OCCLUSION ALARM FREQUENCY POST-IMPLEMENTATION OF SOFTWARE UPDATE DURING THERAPY. 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 |
|---|---|---|---|---|---|---|---|
| 1197211 | SPECTRUM IQ INFUSION PUMP | PUMP, INFUSION | FRN | BAXTER HEALTHCARE CORPORATION | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |