FDA Adverse Event Malfunction Summary report: N

FLOGARD

MDR report key: 3150721 · Received June 6, 2013

Report

Report Number
1416980-2013-14538
Event Type
Malfunction
Date Received
June 6, 2013
Date of Event
May 14, 2013
Report Date
May 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). ON (B)(4) 2013, THE DEVICE WAS EVALUATED AT THE CUSTOMER'S SITE. THE DEVICE HISTORY LOG VERIFIED THERE WAS AN F-38 ALARM WHEN THE DEVICE WAS TURNED ON. THE CAUSE OF THE ALARM WAS DUE TO DAMAGED FORCE SENSING RESISTOR (FSRS). THE FSR'S WERE REPLACED TO RESOLVE THE ISSUE AND THE DEVICE WAS RETURNED TO THE CUSTOMER.

Description of Event or Problem · 1

IT WAS REPORTED THAT A FLOGARD INFUSION PUMP HAD AN F-38 ALARM WHEN THE DEVICE WAS TURNED ON. THERE WAS NO PATIENT INVOLVEMENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
249869 FLOGARD PUMP, INFUSION FRN BAXTER HEALTHCARE - SINGAPORE

Patients

Seq Age Sex Outcome Treatment
1