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 |