FDA Adverse Event Malfunction Summary report: N

FLOGARD

MDR report key: 3873596 · Received June 15, 2014

Report

Report Number
1416980-2014-19086
Event Type
Malfunction
Date Received
June 15, 2014
Date of Event
May 21, 2014
Report Date
May 21, 2014
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). THE DEVICE WAS SERVICED ON-SITE BY A BAXTER SERVICE TECHNICIAN. A VISUAL INSPECTION, POWER ON SELF-TEST AND BATTERY TESTING WERE PERFORMED. DURING BATTERY TESTING A BATTERY LOW ALARM WAS FOUND. THE CAUSE OF THE ALARM WAS A DEPLETED MAIN BATTERY. THE MAIN BATTERY WAS REPLACED. THE DEVICE PASSED ALL SPECIFICATIONS AND WAS RETURNED TO GOOD WORKING CONDITION. IF ADDITIONAL RELEVANT INFORMATION IS OBTAINED, THEN A FOLLOW-UP MDR WILL BE SUBMITTED.

Description of Event or Problem · 1

DURING ON-SITE SERVICE, A BAXTER SERVICE TECHNICIAN FOUND THAT THE FLO-GARD EXPERIENCED A BATTERY LOW ALARM. THERE WAS NO PATIENT INVOLVEMENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
351904 FLOGARD PUMP, INFUSION FRN BAXTER HEALTHCARE - SINGAPORE

Patients

Seq Age Sex Outcome Treatment
1