FDA Adverse Event Malfunction Summary report: N

FLOGARD

MDR report key: 2990113 · Received March 5, 2013

Report

Report Number
1416980-2013-05278
Event Type
Malfunction
Date Received
March 5, 2013
Date of Event
February 1, 2013
Report Date
February 14, 2013
Manufacturer
BAXTER HEALTHCARE - SINGAPORE
Product Code
FRN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MX
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE REPORTED PROBLEM OF " BATTERY LOW ALARM" WAS CONFIRMED VIA VISUAL INSPECTION DURING THE SAMPLE EVALUATION. THE CAUSE OF THE PROBLEM WAS A DAMAGED BATTERY (ACID DAMAGE TO THE BATTERY LEAD). SERVICE REPLACED THE BATTERY TO FIX THE PROBLEM. DEVICE PASSED ALL FURTHER TESTING. IF ANY ADDITIONAL INFORMATION BECOMES AVAILABLE, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 1

(B)(4). THE DEVICE IS CURRENTLY IN THE PROCESS OF BEING EVALUATED ON-SITE AT THE FACILITY BY A BAXTER FIELD SERVICE TECHNICIAN. A FOLLOW-UP REPORT WILL BE FILED UPON COMPLETION OF THE EVALUATION OR IF ANY ADDITIONAL DETAILS BECOME AVAILABLE.

Description of Event or Problem · 1

IT WAS REPORTED THAT A LOW BATTERY ALARM OCCURRED WITH A FLOGARD INFUSION PUMP. IT IS UNKNOWN IF THIS EVENT OCCURRED DURING PATIENT USE. THERE WAS NO REPORT OF PATIENT INVOLVEMENT, PATIENT/USER INJURY OR MEDICAL INTERVENTION. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
93493 FLOGARD PUMP, INFUSION FRN BAXTER HEALTHCARE - SINGAPORE

Patients

Seq Age Sex Outcome Treatment
1