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 |