FDA Adverse Event Malfunction Summary report: N

SPECTRUM INFUSION PUMP

MDR report key: 3934073 · Received February 1, 2014

Report

Report Number
1314492-2014-07283
Event Type
Malfunction
Date Received
February 1, 2014
Date of Event
January 1, 2014
Report Date
January 14, 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

MANUFACTURER REF NO.: (B)(4). BAXTER RECEIVED THE DEVICE. THE SYMPTOM OF "NUISANCE AIR-IN-LINE ALARMS" WAS UNABLE TO BE REPRODUCED DURING EVALUATION. THE EVENT HISTORY LOG DID CONTAIN ENTRIES OF AIR-IN-LINE ALARMS. THE LOWER SENSOR READING FROM THE UPSTREAM SENSOR WAS FOUND TO BE BELOW SPECIFICATION. ALSO, INTERNAL EVALUATION OF THE UNIT FOUND MULTIPLE CRACKS IN THE UPSTREAM ASSEMBLY. THESE CRACKS ARE KNOWN TO CAUSE NUISANCE AIR-IN-LINE ALARMS. THE UPSTREAM SENSOR ASSEMBLY WAS REPLACED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A SPECTRUM PUMP WAS GIVING NUISANCE AIR-IN-LINE ALARMS. IT WAS ALSO REPORTED THAT THERE WAS NO PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
69331 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORP 35700

Patients

Seq Age Sex Outcome Treatment
1