FDA Adverse Event Injury Summary report: N

SPECTRUM IQ INFUSION PUMP

MDR report key: 17279695 · Received July 7, 2023

Report

Report Number
1314492-2023-02474
Event Type
Injury
Date Received
July 7, 2023
Date of Event
June 13, 2023
Report Date
December 4, 2023
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
PMA / PMN Number
K222048
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

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. A DEVICE HISTORY REVIEW REVEALED NO ISSUES THAT COULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED ISSUE. THE DEVICE WAS NOT RECEIVED FOR EVALUATION; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. THIS EVENT IS POTENTIALLY RELATED TO THE ISSUES DESCRIBED IN FA 2021-056 ASSOCIATED WITH REINFORCING PROPER IV LINE SETUP TO PREVENT PARTIAL OR FULL OCCLUSIONS, AND DETECTION OF UPSTREAM OCCLUSION FOR SPECTRUM PUMPS, WHICH CAN LEAD TO UNDER-INFUSIONS. IF THE USER DOES NOT FULLY ADDRESS AN UPSTREAM OCCLUSION BEFORE RESTARTING THE INFUSION, THE PUMP'S ABILITY TO DETECT AN UPSTREAM OCCLUSION MAY BE REDUCED. 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 DID NOT DELIVER MEDICATION AFTER AN UPSTREAM OCCLUSION. DURING AN INFUSION OF PROPOFOL FOR A TOTAL INTRAVENOUS ANESTHESIA (TIVA) THE DEVICE DID NOT ALARM AND NEVER INFUSED. THIS OCCURRED IN THE OPERATING ROOM. THE PATIENT "DID NOT RECEIVE THE MEDICATION DURING THE SURGERY AND THE PATIENT WAS AWAKE". NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
422372 SPECTRUM IQ INFUSION PUMP PUMP, INFUSION FRN BAXTER HEALTHCARE CORPORATION NA NA

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention PROPOFOL