FDA Adverse Event
Malfunction
Summary report: N
BAXTER LVP NOVUM PUMP
MDR report key: 21560303
·
Received March 10, 2025
Report
- Report Number
- MW5167448
- Event Type
- Malfunction
- Date Received
- March 10, 2025
- Date of Event
- March 3, 2025
- Report Date
- March 4, 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
NEW HEPARIN BAG HUNG (B)(6) 2025 1721 AT 35.8 ML/HR. HEPARIN RATE CHANGE 03/03 2037 TO 33.7 ML/HR. HEPARIN BAG (25,000 UNITS IN 500 ML) EMPTY 03/03 2258. STAT PTT >200, ANTI-XA >2.0. NO BLEEDING NOTED, HEPARIN HELD.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 339627 | BAXTER LVP NOVUM PUMP | PUMP, INFUSION | FRN | BAXTER HEALTHCARE CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | HEPARIN |