FDA Adverse Event Malfunction Summary report: N

SPECTRUM INFUSION PUMP

MDR report key: 3935150 · Received February 3, 2014

Report

Report Number
1314492-2014-05622
Event Type
Malfunction
Date Received
February 3, 2014
Date of Event
January 1, 2014
Report Date
January 7, 2014
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
PMA / PMN Number
K042121
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE DEVICE WAS RETURNED TO BAXTER AND AN EVALUATION WAS PERFORMED. THE EVALUATION COULD NOT CONFIRM NO REPRODUCE THE REPORTED UNDETECTED AIR-IN-LINE. THE DEVICE WAS FOUND TO BE WITHIN SPECIFICATION AND PASSED ALL AIR-IN-LINE DETECTION TESTS.

Description of Event or Problem · 1

IT WAS REPORTED THAT A SPECTRUM PUMP WOULD NOT DETECT AN AIR PRESENT IN THE TUBING. IT WAS ALSO REPORTED THAT THERE WAS NO PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
69729 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORPORATION 35700

Patients

Seq Age Sex Outcome Treatment
1