inforMED
MalfunctionMRZ

MEDFUSION

Received May 14, 2021

Report 3012307300-2021-04369 · MDR key 11828622

Device

Generic name

Syringe

Manufacturer

St Paul

Model number

4000

Catalog number

4000-0106-01

Product problems

  • Device Alarm System
  • Device Alarm System

Patient

Not reported

  • Endocarditis
  • Endocarditis

Narrative

Additional Manufacturer Narrative

INVESTIGATION COMPLETED ON A SMITHS MEDICAL SYRINGE INFUSION PUMPS/MEDFUSION 4000 PUMPS COMPLAINT OF BACK UP ALARM WAS NOT CONFIRMED DURING TESTING, HOWEVER IT WAS REVEALED IN THE EVENT LOG. THE CAUSE WAS UNKOWN AS THE BLUE TOKIN SUPER CAP PRESENT ON THE MAIN PC BOARD. ACTION WAS TAKEN AS PREVENTATIVE GOAL AND MAIN PC BOARD WAS REPLACED. DEVICE WAS IN OVER ALL GOOD CONDITION. DEVICE PASSED ALL FUNCTIONAL TESTING.

Description of Event or Problem

INFORMATION RECEIVED A SMITHS MEDICAL SYRINGE INFUSION PUMPS/MEDFUSION 4000 PUMPS MALFUNCTIONED AS DISPLAYED BACK UP AUDIBLE ALARM. NO PATIENT ADVERSE EVENTS REPORTED.