FDA Adverse Event Malfunction Summary report: N

SPECTRUM INFUSION PUMP

MDR report key: 3921608 · Received February 6, 2014

Report

Report Number
1314492-2014-06577
Event Type
Malfunction
Date Received
February 6, 2014
Date of Event
January 1, 2014
Report Date
January 10, 2014
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
PMA / PMN Number
K042121
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

MFR REF NO: (B)(4). THE DEVICE WAS RETURNED TO BAXTER AND EVALUATED. THE DEVICE WAS RECEIVED INOPERABLE DUE TO A CONSTANT AIR IN LINE ALARM CAUSED BY A FAILED UPSTREAM SENSOR. UPSTREAM SENSOR CURRENT READINGS WERE FOUND TO BE BELOW SPEC. WITH LOW ULTRASONIC READINGS IT WOULD MAKE THE PUMP MORE SENSITIVE TO AIR. THE UPSTREAM SENSOR WAS REPLACED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A SPECTRUM PUMP HAS A CONSTANT AIR IN LINE ALARM WHEN NO AIR IS PRESENT. IT WAS ALSO REPORTED THERE WAS NO PT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
76609 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORPORATION 35700

Patients

Seq Age Sex Outcome Treatment
1