BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FLOGARD

    MDR report key: 3892535 · Received June 24, 2014

    Report

    Report Number
    1416980-2014-20145
    Event Type
    Malfunction
    Date Received
    June 24, 2014
    Date of Event
    June 10, 2014
    Report Date
    June 10, 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). (B)(6). THE DEVICE WAS SERVICED ON-SITE BY A FIELD SERVICE TECHNICIAN. A REVIEW OF THE DEVICE LOGS CONFIRMED THE REPORTED ISSUE. THE DEVICE WAS FUNCTIONALLY TESTED PER THE PRODUCT SPECIFICATIONS (POWER-ON SELF TEST/FORCE SENSING RESISTORS TESTING). THE DEVICE DID NOT PASS THE FORCE SENSING RESISTORS TEST AND THE DEFECTIVE FORCE SENSING RESISTORS WERE REPLACED TO RESOLVE THE CONDITION. THE DEVICE WAS SERVICED AND RESTORED TO A GOOD WORKING CONDITION. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

    Description of Event or Problem · 1

    A CUSTOMER REPORTED A FLO-GARD INFUSION PUMP WITH AN ALARM CODE OF F38. IT IS UNKNOWN WHAT PROCESS STEP THIS ALARM OCCURRED DURING. THERE WAS NO PATIENT INVOLVEMENT, AND THEREFORE NO PATIENT INJURY, MEDICAL INTERVENTION, OR ADVERSE EVENT ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    368498 FLOGARD PUMP, INFUSION FRN BAXTER HEALTHCARE - SINGAPORE

    Patients

    Seq Age Sex Outcome Treatment
    1