BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COLLEAGUE CX VOLUMETRIC INFUSION PUMP

    MDR report key: 582491 · Received March 17, 2005

    Report

    Report Number
    6000001-2005-00775
    Event Type
    Injury
    Date Received
    March 17, 2005
    Date of Event
    February 26, 2005
    Report Date
    February 26, 2005
    Manufacturer
    BAXTER HEALTHCARE (SG)
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AN INFUSION PUMP WAS SENT TO BAXTER FOR REPAIR WHERE A FAILURE CODE 570 OCCURRED DURING SERVICING. THE FACILITY REPRESENTATIVE STATED THAT NO PATIENT INJURY WAS REPORTED ON THIS PUMP SINCE THE LAST BAXTER SERVICE EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COLLEAGUE CX VOLUMETRIC INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE (SG) COLLEAGUE CX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA