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 |