FDA Adverse Event Malfunction Summary report: N

ALARIS SYSTEM

MDR report key: 19837074 · Received July 26, 2024

Report

Report Number
2016493-2024-32374
Event Type
Malfunction
Date Received
July 26, 2024
Date of Event
July 1, 2024
Report Date
February 28, 2025
Manufacturer
CAREFUSION SD
Product Code
FRN
UDI-DI
10885403810046
PMA / PMN Number
K211218
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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. PER 803.52(F)(11)(III) THE INFORMATION PROVIDED WAS OBTAINED FROM SERVICING ACTIVITIES PERFORMED ON THE DEVICE. THERE WERE NO ADDITIONAL DETAILS OBTAINABLE OR PROVIDED AT THE TIME OF SERVICE.

Additional Manufacturer Narrative · 0

A DEVICE HISTORY RECORD, COMPLAINT HISTORY REVIEW, AND RISK REVIEW ON FAILURE MODES ARE PERFORMED ON EACH DEVICE WITH REPORTABLE MALFUNCTION(S) ALONG WITH OTHER METHODS OF INVESTIGATION AS CODED IN SECTION H6 OF THIS MDR REPORT. FIELD TECHNICIAN STATED ISSUE OF ERROR 13-1064-1229 WAS CONFIRMED. ¿ ON 25-NOV-2024, 9 LVP DEVICES WERE RECEIVED UNBOXED AND WITH PAPERWORK. ¿ THE 9 LVP UNITS POWERED ON WITH ERROR CODE 13-1064-1229 DUE TO CORRUPT OR MISSING SOFTWARE. ¿ UNITS WERE RE-FLASHED. ALL 9 LVPS FUNCTIONED NORMALLY WITH NO ERRORS AFTER, THEN TESTED ALONG WITH A PCU AND ASFT CHECK-IN TESTING, NO OTHER ISSUES NOTED. ¿ DEVICE TO BE RETURNED TO SAN DIEGO REPAIR CENTER FOR PROCESSING. ¿ AS A PRECAUTION, RECOMMEND BD SAN DIEGO REPAIR CENTER REPLACE THE LOGIC BOARDS. ¿ FAILURE INVESTIGATION REPORT ATTACHED TO QN IN SAP. THIS REPORT LISTS IMDRF ANNEX A, C, D, AND G CODES THAT ARE REPORTABLE MALFUNCTIONS OBSERVED ON THE DEVICE DURING SERVICING. PER 803.52(F)(11)(III) THE INFORMATION PROVIDED WAS OBTAINED FROM SERVICING ACTIVITIES PERFORMED ON THE DEVICE. THERE WERE NO ADDITIONAL DETAILS OBTAINABLE OR PROVIDED AT THE TIME OF SERVICE.

Additional Manufacturer Narrative · 0

CORRECTION: ANNEX B: B21 ANNEX C: C21 ANNEX D: D16 UNIQUE DEVICE IDENTIFIER (UDI)#, ADDED PI TO THE UNIQUE DEVICE IDENTIFIER (UDI)# FIELD. ADDITIONAL INFORMATION: DEVICE AVAILABLE FOR EVAL?, RETURNED TO MANUFACTURER ON, DEVICE EVAL BY MANUFACTURER?, ANNEX B: B01 ANNEX C: C10 ANNEX D: D15 A DEVICE HISTORY RECORD, COMPLAINT HISTORY REVIEW, AND RISK REVIEW ON FAILURE MODES ARE PERFORMED ON EACH DEVICE WITH REPORTABLE MALFUNCTION(S) ALONG WITH OTHER METHODS OF INVESTIGATION AS CODED IN SECTION H6 OF THIS MDR REPORT. INVESTIGATION SUMMARY: FIELD TECHNICIAN STATED ISSUE OF ERROR 13-1064-1229 WAS CONFIRMED. ON 25-NOV-2024, 9 LVP DEVICES WERE RECEIVED UNBOXED AND WITH PAPERWORK. THE 9 LVP UNITS POWERED ON WITH ERROR CODE 13-1064-1229 DUE TO CORRUPT OR MISSING SOFTWARE. UNITS WERE RE-FLASHED. ALL 9 LVPS FUNCTIONED NORMALLY WITH NO ERRORS AFTER, THEN TESTED ALONG WITH A PCU AND ASFT CHECK-IN TESTING, NO OTHER ISSUES NOTED. DEVICE TO BE RETURNED TO SAN DIEGO REPAIR CENTER FOR PROCESSING. AS A PRECAUTION, RECOMMEND BD SAN DIEGO REPAIR CENTER REPLACE THE LOGIC BOARDS. FAILURE INVESTIGATION REPORT ATTACHED TO QN IN SAP. PER 803.52(F)(11)(III) THE INFORMATION PROVIDED WAS OBTAINED FROM SERVICING ACTIVITIES PERFORMED ON THE DEVICE. THERE WERE NO ADDITIONAL DETAILS OBTAINABLE OR PROVIDED AT THE TIME OF SERVICE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEVICE HAD DISPLAYED ERROR CODE 13-1064-1229. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEVICE HAD DISPLAYED ERROR CODE 13-1064-1229. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEVICE HAD DISPLAYED ERROR CODE 13-1064-1229. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
934090 ALARIS SYSTEM PUMP, INFUSION FRN CAREFUSION SD 8100 10885403810046

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown