FDA Adverse Event Malfunction Summary report: N

SPECTRUM INFUSION PUMP

MDR report key: 3071133 · Received April 8, 2013

Report

Report Number
1314492-2013-00365
Event Type
Malfunction
Date Received
April 8, 2013
Date of Event
March 1, 2013
Report Date
March 11, 2013
Manufacturer
BAXTER HEALTHCARE
Product Code
FRN
PMA / PMN Number
K042121
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE DEVICE WAS RETURNED TO BAXTER FOR EVALUATION. THE EVALUATION FOUND THAT THE SCREW WHICH STOPS THE UPPER SWITCH BRACKET FROM MOVING WAS LOOSE, AND THAT THE GAP BETWEEN THE UPPER HOOK AND THE SWITCH WAS OUTSIDE OF SPECIFICATION. WHEN PRESSURE WAS APPLIED TO THE CLOSED DOOR, THE SWITCH BRACKET WOULD MOVE FROM ITS INTENDED POSITION AND CAUSE INTERMITTENT OPENINGS OF THE UPPER HOOK SWITCH. WHEN THIS SWITCH OPENED, THE PUMP WOULD TURN ON. THE DEVICE WAS REPAIRED BY ENSURING THE SPECIFIED GAP BETWEEN THE UPPER HOOK AND THE SWITCH, AND BY TIGHTENING THE SWITCH BRACKET SCREW USING THE SPECIFIED AMOUNT OF TORQUE.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHEN A PUMP WAS TURNED OFF THE PUMP WOULD THEN TURN BACK ON BY ITSELF. IT WAS ALSO REPORTED THAT THERE WAS NO PT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
144292 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE 35700

Patients

Seq Age Sex Outcome Treatment
1