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