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 |