MAUDE Adverse Event Report: BAXTER HEALTHCARE CORPORATION Power Management Stand; Monitor, physiological, patient (without arrhythmia detection or alarms)

Model Number	901001
Medical Device Problem Codes	Thermal Decomposition of Device (1071); Sparking (2595)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	08/27/2026
Type of Reportable Event	Malfunction
Event or Problem Description
Baxter received a report stating that a power management stand emitted sparks and burning smell.The power cable appeared to be blackened.The process step during which this occurred was unknown.There was no patient/user injury, medical intervention, symptom, or adverse event reported.
Additional Manufacturer Narrative
The baxter technician found the power cord was defective.The reported problem has been verified.The baxter technician arranged to get the power cord replaced for the customer to resolve the issue.Although there was no injury associated with this event, if the reported event were to recur it could lead to injury or death.Therefore, baxter is reporting this complaint.

• Brand Name: Power Management Stand
• Common Device Name: Monitor, physiological, patient (without arrhythmia detection or alarms)
• Manufacturer (Section D): BAXTER HEALTHCARE CORPORATION; deerfield IL
• Manufacturer (Section G): WELCH ALLYN PRODUCTS, SKANEATELES; 4341 state street; skaneateles falls NY 13153
• Manufacturer Contact: 25212 w. illinois route 120; round lake, IL 60073 ; +1(224)270-5355
• MDR Report Key: 50877612
• Report Number: 1316463-2026-00348
• Device Sequence Number: 10715390
• Product Code: MWI
• UDI-Device Identifier: 00732094210613
• UDI-Public: (01)00732094210613
• Combination Product (Y/N): N
• Initial Reporter State: NA
• Initial Reporter Country: SW
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,Company Representative
• Remedial Action: Other
• Type of Report: Initial
• Report Date (Section B): 09/24/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Model Number: 901001
• Device Catalogue Number: 7000-APM
• Device Lot Number: N/A
• Was Device Available for Evaluation?: Yes
• Date Returned to Manufacturer: 09/07/2026
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 08/27/2026
• Initial Report FDA Received Date: 09/24/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• If action reported to FDA under 21 USC 360i(g), list FDA-assigned Recall Number or include a statement: N/A
• Patient Sequence Number: 1
• Patient Sex: Unknown