BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COLLEAGUE VOLUMETRIC INFUSION PUMP

    MDR report key: 679841 · Received February 21, 2006

    Report

    Report Number
    6000001-2006-02839
    Event Type
    Malfunction
    Date Received
    February 21, 2006
    Date of Event
    January 24, 2006
    Report Date
    January 24, 2006
    Manufacturer
    BAXTER HEALTHCARE PTE. LTD.
    Product Code
    FRN
    Removal / Correction Number
    6000001-2/25/004-C
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    THE FACILITY RETURNED THE DEVICE FOR SERVICE. DURING SERVICE THE BAXTER REPAIR TECH FOUND FAILURE CODE 570:320:844:000 IN THE PUMP'S EVENT HISTORY. THE HOSP REP STATED THAT THERE HAVE BEEN NO REPORTS OF ANY PT INCIDENT INVOLVING THIS PUMP SINCE THE LAST BAXTER SERVICE EVENT.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN