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