FDA Adverse Event Malfunction Summary report: N

ASKU

MDR report key: 23953076 · Received January 3, 2026

Report

Report Number
1416980-2026-00048
Event Type
Malfunction
Date Received
January 3, 2026
Report Date
February 13, 2026
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FPA
PMA / PMN Number
ASKU
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: H6 (UPDATE CODES), H11. H11: THE DEVICES WERE DISCARDED AND THE LOT NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

B3/D10: THE EVENTS OCCURRED ON UNSPECIFIED DATES. D1/D4/G4: THE SET IS POTENTIALLY ONE OF THE FOLLOWING: BRAND NAME IS CLEARLINK, MODEL AND CATALOG NUMBER: 2R8486, UDI# IS (B)(4), 510K# IS K161808. BRAND NAME IS CLEARLINK/DUO-VENT, MODEL AND CATALOG NUMBER 2R8480, UDI# IS (B)(4), 510K# IS K153158. E1: INITIAL REPORTER PHONE NO. (B)(6). SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT AN UNSPECIFIED QUANTITY OF UNKNOWN BASIC SOLUTION SETS UNDERINFUSED WHEN USED WITH SPECTRUM INFUSION PUMPS. THE ISSUE WAS DESCRIBED AS, THE DEVICES HAD "TOO MUCH LEFT". THESE OCCURRED DURING THE ADMINISTRATION OF TOTAL PARENTERAL NUTRITION (TPN) VIA A PERIPHERALLY INSERTED CENTRAL CATHETER (PICC). TO PREVENT HYPOGLYCEMIA, A DEXTROSE 5% (D5) SOLUTION WAS INFUSED. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
255800 ASKU SET, ADMINISTRATION, INTRAVASCULAR FPA BAXTER HEALTHCARE CORPORATION ASKU ASKU

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown DEXTROSE 5% (D5)| SINGLE LUMEN PICC| SPECTRUM INFUSION PUMP| TPN