FDA Adverse Event Malfunction Summary report: N

FLOGARD

MDR report key: 3241344 · Received July 22, 2013

Report

Report Number
1416980-2013-19346
Event Type
Malfunction
Date Received
July 22, 2013
Date of Event
June 28, 2013
Report Date
June 28, 2013
Manufacturer
BAXTER HEALTHCARE - SINGAPORE
Product Code
FRN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MX
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE DEVICE WAS SERVICED AT THE CUSTOMER SITE. THE REPORTED CONDITION OF AN F-38 ALARM WAS CONFIRMED VIA THE ALARM LOG. THE CAUSE OF THE REPORTED CONDITION WAS DUE TO DAMAGED FORCE SENSING RESISTORS (FSRS). TO CORRECT THE ISSUE THE FSRS WERE REPLACED. THE DEVICE WAS SERVICED AND RESTORED TO A GOOD WORKING CONDITION. IF ANY ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A FOLLOW UP MDR WILL BE SENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT A FLOGARD INFUSION PUMP EXPERIENCED AN F-38 ALARM. THERE WAS NO PATIENT INVOLVEMENT. ADDITIONAL INFORMATION WAS REQUESTED AND IS NOT AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
340043 FLOGARD PUMP, INFUSION FRN BAXTER HEALTHCARE - SINGAPORE

Patients

Seq Age Sex Outcome Treatment
1