FDA Adverse Event
Malfunction
Summary report: N
FLOGARD
MDR report key: 3142741
·
Received June 3, 2013
Report
- Report Number
- 1416980-2013-14090
- Event Type
- Malfunction
- Date Received
- June 3, 2013
- Report Date
- May 9, 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 DEVICE WAS SERVICED ON-SITE BY A BAXTER TECHNICIAN. REVIEW OF THE ALARM LOG CONFIRMED THE REPORTED ALARM. THE ROOT CAUSE WAS DETERMINED TO BE A DEFECTIVE MAIN BATTERY. THE MAIN BATTERY WAS REPLACED TO ADDRESS THIS ISSUE AND THE DEVICE WAS RETURNED TO THE CUSTOMER. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SENT.
Description of Event or Problem · 1
IT WAS REPORTED THAT A FLOGARD INFUSION PUMP EXPERIENCED A BATTERY LOW ALARM. IT IS UNKNOWN WHEN IN THE PROCESS THIS OCCURRED. THERE WAS NO PATIENT INVOLVEMENT REPORTED. ADDITIONAL INFORMATION HAS BEEN REQUESTED AND IS NOT AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 244705 | FLOGARD | PUMP, INFUSION | FRN | BAXTER HEALTHCARE - SINGAPORE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |