FDA Adverse Event
Malfunction
Summary report: N
SPECTRUM INFUSION PUMP
MDR report key: 3222085
·
Received July 1, 2013
Report
- Report Number
- 1314492-2013-00943
- Event Type
- Malfunction
- Date Received
- July 1, 2013
- Date of Event
- June 1, 2013
- Report Date
- June 3, 2013
- Manufacturer
- BAXTER HEALTHCARE CORP.
- Product Code
- FRN
- PMA / PMN Number
- K042121
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
(B)(4). THE DEVICE WAS RETURNED AND EVALUATED BY BAXTER. THE SYSTEM ERROR 322 COULD NOT BE REPRODUCED, BUT WAS CONFIRMED DURING THE REVIEW OF THE EVENT HISTORY LOG. SYSTEM ERROR 322 OCCURRED 5 TIMES IN THE EVENT HISTORY LOG. THE DEVICE WAS FOUND TO BE WITHIN SPECIFICATION IN RELATION TO THE REPORTED SYMPTOM, HOWEVER, THE UPPER AND LOWER AUXILIARY ASSEMBLIES WERE REPLACED DUE TO THE EVIDENCE OF SYSTEM ERROR 322 IN THE EVENT HISTORY LOG. 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 THE PUMP ALARMED FOR A SYSTEM ERROR 322 - "LINK SWITCH ERROR (LOW)." IT WAS ALSO REPORTED THAT THERE WAS NO PATIENT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 297485 | SPECTRUM INFUSION PUMP | INFUSION PUMP | FRN | BAXTER HEALTHCARE CORP. | 35700 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |