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 |