FDA Adverse Event Malfunction Summary report: N

ALARIS SYSTEM

MDR report key: 18629105 · Received February 2, 2024

Report

Report Number
2016493-2024-12179
Event Type
Malfunction
Date Received
February 2, 2024
Date of Event
December 20, 2023
Report Date
May 6, 2024
Manufacturer
CAREFUSION SD
Product Code
FRN
UDI-DI
10885403286186
PMA / PMN Number
K133532
Removal / Correction Number
Z-2719-2020
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

A FOLLOW UP REPORT WILL BE SUBMITTED WITH INVESTIGATION RESULTS SHOULD THE DEVICE BE REPAIRED OR THE DEVICE/LOGS BE RECEIVED FOR EVALUATION. PER 803.52(F)(11)(III) THE INFORMATION PROVIDED REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. THE COMPLAINANT OR REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO THE MANUFACTURER. H3 OTHER TEXT : DEVICE WAS NOT RETURNED TO MANUFACTURING FACILITY.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: IMDRF ANNEX B CODE AND MANUFACTURER NARRATIVE. A DEVICE HISTORY RECORD REVIEW IS PERFORMED ON EACH DEVICE REPORTED IN A MDR REPORTABLE EVENT ALONG WITH OTHER METHODS OF INVESTIGATION AS CODED IN SECTION H6 OF THIS MDR REPORT.

Additional Manufacturer Narrative · 0

OMIT : B17 - DEVICE NOT RETURNED, C20 - NO FINDINGS AVAILABLE, D15 - CAUSE NOT ESTABLISHED. ADDITIONAL INFORMATION : DEVICE AVAILABLE FOR EVAL?, RETURNED TO MANUFACTURER ON, DEVICE EVAL BY MANUFACTURER?, IMDRF ANNEX A, G, B, C, D CODES, REMEDIAL ACTION REQUIRED AND REMEDIAL ACTION #.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SYRINGE PUMP MODULE HAD AN OVER INFUSION OF HPN. THE TIME TO BE INFUSED WAS OVER 60 MINUTES, HOWEVER THE HPN INFUSED IN 1 MINUTE SHORT. THERE WAS PATIENT INVOLVEMENT BUT NO HARM.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SYRINGE PUMP MODULE HAD AN OVER INFUSION OF HPN. THE TIME TO BE INFUSED WAS OVER 60 MINUTES, HOWEVER THE HPN INFUSED IN 1 MINUTE SHORT. THERE WAS PATIENT INVOLVEMENT BUT NO HARM.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SYRINGE PUMP MODULE HAD AN OVER INFUSION OF HPN. THE TIME TO BE INFUSED WAS OVER 60 MINUTES, HOWEVER THE HPN INFUSED IN 1 MINUTE SHORT. THERE WAS PATIENT INVOLVEMENT BUT NO HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1621920 ALARIS SYSTEM PUMP, INFUSION FRN CAREFUSION SD 8110 10885403286186

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown 8015.