FDA Adverse Event Injury Summary report: N

SPECTRUM IQ INFUSION PUMP

MDR report key: 18133693 · Received November 14, 2023

Report

Report Number
1314492-2023-04230
Event Type
Injury
Date Received
November 14, 2023
Report Date
December 13, 2023
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
PMA / PMN Number
K222048
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
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. 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 NCR PR: 2236001/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 WHILE INTRAVENOUS FLUIDS WERE RUNNING AT 100 ML/HOUR ON A SPECTRUM IQ INFUSION PUMP, IT FAILED TO ALARM UPSTREAM OCCLUSION. IT WAS FURTHER REPORTED THAT THE BLUE SLIDE CLAMP WAS OBSERVED TO HAVE BEEN CLAMPED OFF AFTER THE START OF THE INFUSION (DURATION UNKNOWN) AND THE PUMP DID NOT ALARM AS EXPECTED. ACCORDING TO THE REPORTER, THE PATIENT BECAME HYPOTENSIVE ("PATIENT'S BLOOD PRESSURE BOTTOMED"); HOWEVER, CURRENTLY THE PATIENT "BECAME STABLE". NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1989966 SPECTRUM IQ INFUSION PUMP PUMP, INFUSION FRN BAXTER HEALTHCARE CORPORATION NA NA

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other