FDA Adverse Event Malfunction Summary report: N

SPECTRUM INFUSION PUMP

MDR report key: 4843997 · Received June 5, 2015

Report

Report Number
1314492-2015-06570
Event Type
Malfunction
Date Received
June 5, 2015
Date of Event
May 1, 2015
Report Date
May 13, 2015
Manufacturer
BAXTER HEALTHCARE CORP
Product Code
FRN
PMA / PMN Number
K042121
Removal / Correction Number
Z-1484-2014
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). BAXTER RECEIVED AND EVALUATED THE DEVICE IN QUESTION. THE EVALUATION WAS ABLE TO CONFIRM THE SYSTEM ERROR 322 ALARM THROUGH REVIEW OF THE DEVICE EVENT HISTORY LOG. THE ALARM COULD NOT BE REPRODUCED AND A CAUSE COULD NOT BE IDENTIFIED. THE PUMP WAS TESTED WITH PASSING RESULTS. BAXTER HAS INITIATED AN APPROVED REMEDIAL ACTION; HOWEVER THIS DEVICE HAS A VERSION OF SOFTWARE THAT DOES NOT HAVE AN APPROVE SOFTWARE UPDATE. THE DEVICE WAS FOUND TO BE OPERATING MECHANICALLY AS DESIGNED AND NO ACTION WILL BE TAKEN AT THIS TIME. SYSTEM ERROR 322 WILL OCCUR WHEN THE PUMP TRANSITIONS FROM THE DOOR OPEN STATE TO THE DOOR CLOSED/SET-LOADED STATE AND THE LOWER LINK SWITCH DOES NOT ACTIVATE. BAXTER HAS INITIATED A CAPA TO FURTHER INVESTIGATE THIS ISSUE.

Description of Event or Problem · 1

IT WAS REPORTED THAT A SPECTRUM PUMP DISPLAYED SYSTEM ERROR 322. IT WAS ALSO REPORTED THERE WAS NO PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
365330 SPECTRUM INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORP 35700

Patients

Seq Age Sex Outcome Treatment
1