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 |