FDA Adverse Event Malfunction Summary report: N

ALARIS SYSTEM

MDR report key: 20211171 · Received September 13, 2024

Report

Report Number
2016493-2024-36212
Event Type
Malfunction
Date Received
September 13, 2024
Date of Event
August 23, 2024
Report Date
January 17, 2025
Manufacturer
CAREFUSION SD
Product Code
FRN
UDI-DI
10885403519284
PMA / PMN Number
K211218
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

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 TAMPER SWITCH BROKEN WAS CONFIRMED. ON 23-AUGUST-2024, PCU WAS RECEIVED UNBOXED AND WITH PAPERWORK. EXTERNAL INSPECTION REVEALED NO PHYSICAL DAMAGE, COSMETIC DAMAGE OR LABELING DAMAGE. INTERNAL INSPECTION REVEALED NO LOOSE CONNECTIONS OR PHYSICAL OR COMPONENT DAMAGE. THE STATED ISSUE OF TAMPER SWITCH BROKEN WAS CONFIRMED. RUNNING ASM KEYPAD TEST CONFIRMED THAT THE TAMPER SWITCH WASN¿T FUNCTIONING. BAD SIO BOARD. WHEN REPLACED WITH KNOWN WORKING SIO BOARD, THE TAMPER SWITCH PASSED THE ASM KEYPAD TEST. DEVICE TO BE RETURNED TO SAN DIEGO REPAIR CENTER FOR PROCESSING. RECOMMEND BD SAN DIEGO REPAIR CENTER REPLACE THE SIO BOARD. 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

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 TAMPER SWITCH BROKEN WAS CONFIRMED. ON 23-AUGUST-2024, PCU WAS RECEIVED UNBOXED AND WITH PAPERWORK. EXTERNAL INSPECTION REVEALED NO PHYSICAL DAMAGE, COSMETIC DAMAGE OR LABELING DAMAGE. INTERNAL INSPECTION REVEALED NO LOOSE CONNECTIONS OR PHYSICAL OR COMPONENT DAMAGE. THE STATED ISSUE OF TAMPER SWITCH BROKEN WAS CONFIRMED. RUNNING ASM KEYPAD TEST CONFIRMED THAT THE TAMPER SWITCH WASN¿T FUNCTIONING. BAD SIO BOARD. WHEN REPLACED WITH KNOWN WORKING SIO BOARD, THE TAMPER SWITCH PASSED THE ASM KEYPAD TEST. DEVICE TO BE RETURNED TO SAN DIEGO REPAIR CENTER FOR PROCESSING. RECOMMEND BD SAN DIEGO REPAIR CENTER REPLACE THE SIO BOARD. 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEVICE HAD BROKEN TAMPER SWITCH. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEVICE HAD BROKEN TAMPER SWITCH. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEVICE HAD BROKEN TAMPER SWITCH. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1207862 ALARIS SYSTEM PUMP, INFUSION FRN CAREFUSION SD 8015 10885403519284

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown