FDA Adverse Event Malfunction Summary report: N

FLOGARD

MDR report key: 3211711 · Received July 8, 2013

Report

Report Number
1416980-2013-17733
Event Type
Malfunction
Date Received
July 8, 2013
Report Date
June 9, 2013
Manufacturer
SHARP CORPORATION OSAKA JAPAN
Product Code
FRN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MX
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE FLOGARD INFUSION PUMP WAS SERVICED ON-SITE. A REVIEW OF THE ALARM LOG IDENTIFIED ALARM F38. THIS ALARM INDICATED THAT THE FORCE SENSING RESISTOR (FSR) WAS OUT OF CALIBRATION. THE FSR WAS REPLACED TO FIX THE REPORTED CONDITION. THE PUMP PASSED ALL TESTING AND WAS RETURNED TO THE CUSTOMER IN WORKING ORDER.

Description of Event or Problem · 1

IT WAS REPORTED THAT A FLOGARD INFUSION PUMP PRESENTED AN F-38 ALARM. THE PROCESS STEP THAT THIS MALFUNCTION WAS IDENTIFIED IS UNKNOWN. THERE WAS NO PATIENT INVOLVEMENT. ADDITIONAL INFORMATION WAS REQUESTED AND IS NOT AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
309401 FLOGARD PUMP, INFUSION FRN SHARP CORPORATION OSAKA JAPAN

Patients

Seq Age Sex Outcome Treatment
1