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