BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COLLEAGUE 3 VOLUMETRIC INFUSION PUMP

    MDR report key: 666655 · Received January 17, 2006

    Report

    Report Number
    6000001-2006-00799
    Event Type
    Malfunction
    Date Received
    January 17, 2006
    Date of Event
    December 1, 2005
    Report Date
    December 21, 2005
    Manufacturer
    BAXTER HEALTHCARE PTE. LTD
    Product Code
    FRN
    Removal / Correction Number
    6000001-7/20/05-015-C
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE FACILITY REP REPORTED A FAIL CODE 804:34, DURING BIOMED TESTING. THE HOS REP STATED THAT THERE WERE NO REPORTS OF PT INJURY OR MEDICAL INTERVENTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COLLEAGUE 3 VOLUMETRIC INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE PTE. LTD COLLEAGUE 3 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA