BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SPECTRUM INFUSION PUMP

    MDR report key: 3780473 · Received January 7, 2014

    Report

    Report Number
    1314492-2014-01124
    Event Type
    Malfunction
    Date Received
    January 7, 2014
    Date of Event
    December 1, 2013
    Report Date
    December 10, 2013
    Manufacturer
    BAXTER HEALTHCARE CORP
    Product Code
    FRN
    PMA / PMN Number
    K042121
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE CUSTOMER WAS GIVEN TROUBLESHOOTING ADVICE AND RECOMMENDATIONS. THE CUSTOMER WAS SATISFIED WITH THE INFO GIVEN TO HIM.

    Description of Event or Problem · 1

    TROUBLE SHOOTING FOR SYSTEM ERROR 322 WAS REQUESTED BY THE CUSTOMER. THERE WAS NO PT INVOLVEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    11647 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORP 35700

    Patients

    Seq Age Sex Outcome Treatment
    1