BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SPECTRUM INFUSION PUMP

    MDR report key: 3891576 · Received January 31, 2014

    Report

    Report Number
    1314492-2014-05223
    Event Type
    Malfunction
    Date Received
    January 31, 2014
    Date of Event
    January 6, 2014
    Report Date
    January 6, 2014
    Manufacturer
    BAXTER HEALTHCARE CORPORATION
    Product Code
    FRN
    PMA / PMN Number
    K042121
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    MFR REF NO: (B)(4). THE DEVICE WAS RETURNED TO BAXTER AND AN EVAL WAS PERFORMED. THE EVAL CONFIRMED AND REPRODUCED THE DELAYED KEYPAD RESPONSE, WHICH WAS CAUSED BY A LAGGING SIGNAL ON THE PROCESSOR PRINTED CIRCUIT BOARD. AS A RESULT, THE PROCESSOR PRINTED CIRCUIT BOARD WAS REPLACED.

    Description of Event or Problem · 1

    DURING BAXTER'S EVAL OF A DEVICE, THE PUMP DISPLAYED A DELAYED KEYPAD RESPONSE. THERE WAS NO PT INVOLVEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    68668 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORPORATION 35700

    Patients

    Seq Age Sex Outcome Treatment
    1