BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SPECTRUM INFUSION PUMP

    MDR report key: 3221675 · Received July 1, 2013

    Report

    Report Number
    1314492-2013-00950
    Event Type
    Malfunction
    Date Received
    July 1, 2013
    Date of Event
    June 1, 2013
    Report Date
    June 4, 2013
    Manufacturer
    BAXTER HEALTHCARE CORP
    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). THE DEVICE WAS RETURNED AND EVALUATED BY BAXTER. THE REPORTED SYMPTOM OF SYSTEM ERROR 322 WAS CONFIRMED THROUGH THE PUMP'S HISTORY LOG BUT COULD NOT BE REPRODUCED DURING EVAL AND TESTING. 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. THE UPPER AUX AND LOWER AUX WILL BE REPLACED AS KNOWN CONTRIBUTORS TO SYSTEM ERROR 322.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A DEVICE ALARMED SYSTEM ERROR 322. IT WAS REPORTED THAT THERE WAS NO PT INVOLVEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    297238 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORP 35700

    Patients

    Seq Age Sex Outcome Treatment
    1