BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SPECTRUM INFUSION PUMP

    MDR report key: 2923031 · Received December 27, 2012

    Report

    Report Number
    1314492-2012-00535
    Event Type
    Malfunction
    Date Received
    December 27, 2012
    Date of Event
    November 19, 2012
    Report Date
    November 30, 2012
    Manufacturer
    BAXTER HEALTHCARE CORP
    Product Code
    FRN
    PMA / PMN Number
    K042121
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UT, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). SIGMA EVALUATED THE DEVICE IN QUESTION. IT WAS CONFIRMED THAT THE AUDIO FUNCTION WAS NOT PRESENT. FURTHER EVAL IDENTIFIED THAT THE ABSENCE OF AUDIO WAS DUE TO A FAILED 1 WATT SPEAKER. ADDITIONALLY, THE PUMP WAS TESTED AT MULTIPLE RATES AND NO ANOMALOUS NOISES WERE OBSERVED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A PUMP MOTOR WAS "CLICKING" AND THE SPEAKER IS INOPERABLE. IT WAS ALSO REPORTED THAT THERE WAS NO PT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORP 35700

    Patients

    Seq Age Sex Outcome Treatment
    1 Congenital Anomaly