FDA Adverse Event Malfunction Summary report: N

NOVUM IQ

MDR report key: 24835300 · Received April 9, 2026

Report

Report Number
1416980-2026-01253
Event Type
Malfunction
Date Received
April 9, 2026
Report Date
April 9, 2026
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
UDI-DI
05413765852428
PMA / PMN Number
K242390
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

D4: UNIQUE IDENTIFIER (UDI) #: THE SERIAL NUMBER (21) IS UNKNOWN, THEREFORE, THE UDI NUMBER ONLY WILL CONTAIN THE DEVICE IDENTIFIER (01). THE DEVICE WAS NOT RETURNED AND THE SERIAL NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT A NOVUM IQ SYRINGE PUMP HAD A BLACK SCREEN FOUND DURING DEVICE POWER UP WHILE INITIATING NOVUM SYRINGE SOFTWARE UPDATE (V2.1.4) FROM OVER-THE-AIR (ON-RESTART) DISTRIBUTION FROM IQE. THERE WAS NO PATIENT INVOLVED. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
889067 NOVUM IQ PUMP, INFUSION FRN BAXTER HEALTHCARE CORPORATION 40800BAXUS NI 05413765852428

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown