FDA Adverse Event Malfunction Summary report: N

FLOGARD

MDR report key: 3252742 · Received July 29, 2013

Report

Report Number
1416980-2013-20041
Event Type
Malfunction
Date Received
July 29, 2013
Report Date
July 5, 2013
Manufacturer
BAXTER HEALTHCARE - SINGAPORE
Product Code
FRN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MX
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). EVALUATION SUMMARY: THE DEVICE WAS SERVICED ON-SITE BY A FIELD SERVICE TECHNICIAN. THE CAUSE OF THE BATTERY LOW ALARM WAS DETERMINED TO BE BLOWN FUSES AND A DAMAGED POWER SUPPLY, WHICH PREVENTED THE MAIN BATTERIES FROM CHARGING. TO CORRECT THE CONDITION, THE FUSES, POWER SUPPLY, AND MAIN BATTERIES WERE REPLACED. THE DEVICE WAS SERVICED AND RESTORED TO A GOOD WORKING CONDITION. IF ANY ADDITIONAL 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 A BATTERY LOW 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
353200 FLOGARD PUMP, INFUSION FRN BAXTER HEALTHCARE - SINGAPORE

Patients

Seq Age Sex Outcome Treatment
1