FDA Adverse Event Malfunction Summary report: N

SPECTRUM INFUSION PUMP

MDR report key: 3221495 · Received July 3, 2013

Report

Report Number
1314492-2013-00979
Event Type
Malfunction
Date Received
July 3, 2013
Date of Event
June 1, 2013
Report Date
June 4, 2013
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
PMA / PMN Number
K042121
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). BAXTER RECEIVED AND EVALUATED THE DEVICE. A SYSTEM ERROR 322 WAS CONFIRMED THROUGH REVIEW OF THE DEVICE'S HISTORY LOG, AS WELL AS REPRODUCED DURING EVAL. THIS ERROR WAS CAUSED BY A FAILED LOWER LINK SWITCH. THE LINK SWITCH WAS FOUND TO HAVE CONTAMINATION ON THE SWITCH SPRING, THE METAL CONTACT AT THE BOTTOM OF THE SWITCH, AND ON THE BACKSIDE BETWEEN THE SWITCH AND THE FLEX. THE LOWER AUX WAS REPLACED. SYSTEM ERROR 322 WILL OCCUR WHEN THE PUMP TRANSITIONS FROM THE DOOR OPEN STATE TO THE DOOR CLOSED/SET-LOADED STATE AND THE LOWER LINK SWITCH DOES NOT ACTIVATE.

Description of Event or Problem · 1

IT WAS REPORTED THAT A SPECTRUM PUMP WAS ALARMING CONSTANTLY FOR SYSTEM ERROR 322. IT WAS ALSO REPORTED THAT THERE WAS NO PT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
303494 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORPORATION 35700

Patients

Seq Age Sex Outcome Treatment
1