FDA Adverse Event Malfunction Summary report: N

SPECTRUM INFUSION PUMP

MDR report key: 3223893 · Received July 2, 2013

Report

Report Number
1314492-2013-00960
Event Type
Malfunction
Date Received
July 2, 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
VA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE DEVICE WAS RECEIVED AND EVALUATED BY BAXTER. THE UNIT PASSED FLOW RATE TESTING PER THE SPECTRUM SERVICE MANUAL. THE PUMP PASSED ADD'L FLOW RATE TESTS AS WELL. HOWEVER, WHEN TESTED FOR FLOW RATE ACCURACY USING THE PARAMETERS FOUND IN THE HISTORY LOG (300 ML/HR WITH A VOLUME TO BE INFUSED OF 20 ML), THE UNIT WAS FOUND TO BE SLIGHTLY UNDER-INFUSING, DELIVERING 18.641 ML. THE PUMP WAS NOT WITHIN SPEC IN RELATION TO THE REPORTED SYMPTOM. THE UNIT WAS NOT UNDER-INFUSING AT THE MAGNITUDE DESCRIBED BY THE CUSTOMER. THE PUMP WAS RE-CALIBRATED TO CORRECT THIS FLOW RATE DEFICIENCY.

Description of Event or Problem · 1

IT WAS REPORTED THAT A SPECTRUM PUMP WAS EXPERIENCING A DEFICIENCY IN FLOW RATE ACCURACY. IT WAS REPORTED THAT "IF 20 ML WAS PROGRAMMED, ONLY 10 ML WAS DELIVERED." IT WAS ALSO REPORTED THAT THERE WAS NO PT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
300966 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORP 35700

Patients

Seq Age Sex Outcome Treatment
1