FDA Adverse Event Malfunction Summary report: N

NOVUM IV PUMP

MDR report key: 21434766 · Received February 21, 2025

Report

Report Number
MW5166663
Event Type
Malfunction
Date Received
February 21, 2025
Date of Event
February 13, 2025
Report Date
February 18, 2025
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

BAXTER PUMP PROGRAMMED TO INFUSE HEPARIN AT PRESCRIBED RATE; HOWEVER, NO MEDICATION WAS INFUSED INTO PATIENT. NEW BAG WAS HUNG AT BEGINNING OF SHIFT. PUMP SETTINGS AND MEDICATION VERIFIED VIA 2 RN'S. NOON ANTI-XA RESULT WAS MUCH LESS THAN PREVIOUS RESULT. PA NOTIFIED. LAB REDRAWN AND RESULT WAS AGAIN SUBTHERAPEUTIC. PA AND CHARGE RN NOTIFIED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
414709 NOVUM IV PUMP PUMP, INFUSION FRN BAXTER HEALTHCARE CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown HEPARIN