FDA Adverse Event Malfunction Summary report: N

FLOGARD

MDR report key: 3173654 · Received June 17, 2013

Report

Report Number
1416980-2013-15621
Event Type
Malfunction
Date Received
June 17, 2013
Date of Event
May 9, 2013
Report Date
May 23, 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 AT THE CUSTOMER SITE. THE DEVICE WAS VISUALLY INSPECTED AND FUNCTIONALLY TESTED. THE REPORTED CONDITION OF DOES NOT WORK WAS CONFIRMED AS A FAILURE 82. THE CAUSE OF THE REPORTED CONDITION WAS DUE TO A DEFECTIVE CENTRAL PROCESSING UNIT (CPU). TO CORRECT THE ISSUE THE CPU WAS REPLACED. THE DEVICE WAS SERVICED AND RESTORED TO A GOOD WORKING CONDITION. IF ANY ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A FOLLOW UP MDR WILL BE SENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT A FLOGARD INFUSION PUMP DOES NOT WORK. THERE WAS NO PATIENT INVOLVEMENT. ADDITIONAL INFORMATION WAS REQUESTED AND IS NOT AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
273656 FLOGARD PUMP, INFUSION FRN BAXTER HEALTHCARE - SINGAPORE

Patients

Seq Age Sex Outcome Treatment
1