BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SPECTRUM INFUSION PUMP

    MDR report key: 3880242 · Received January 30, 2014

    Report

    Report Number
    1314492-2014-05106
    Event Type
    Malfunction
    Date Received
    January 30, 2014
    Date of Event
    January 1, 2014
    Report Date
    January 3, 2014
    Manufacturer
    BAXTER HEALTHCARE CORP
    Product Code
    FRN
    PMA / PMN Number
    K042121
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Additional Manufacturer Narrative · 1

    MFR REF NO: (B)(4). THE DEVICE WAS RETURNED TO BAXTER AND AN EVAL WAS PERFORMED. THE EVAL CONFIRMED (THROUGH THE HISTORY LOG) BUT DID NOT REPRODUCE THE SYSTEM ERROR 322. THE DEVICE WAS OPERATING OUT OF SPEC. PAST REPAIRS HAVE BEEN SHOWN THAT THE UPPER AND LOWER AUXILIARIES ARE THE FAILING COMPONENTS. THE UPPER AND LOWER AUXILIARIES WERE REPLACED. SYSTEM ERROR 322 WILL OCCUR WHEN THE PUMP TRANSITIONS FROM THE DOOR OPEN STATE TO THE DOOR CLOSED/SET-LOADED STATE AND THE LOWER LINK SWITCH DOES NOT ACTIVATE.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A DEVICE IS ALARMING SYSTEM ERROR 322. IT WAS ALSO REPORTED THAT THERE WAS NO PT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    66437 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORP 35700

    Patients

    Seq Age Sex Outcome Treatment
    1