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 |