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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BAXTER HEALTHCARE CORPORATION Novum IQ; Pump, infusion

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BAXTER HEALTHCARE CORPORATION Novum IQ; Pump, infusion Back to Search Results
Model Number 40800BAXUS
Medical Device Problem Code Connection Problem (2900)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that an unspecified quantity of novum iq syringe pumps had connection concerns when used with 35 ml non-baxter enfit syringes.Similar concerns were reported with another type of non-baxter enfit syringe.This occurred during an unspecified process step.There was no report of patient injury or medical intervention associated with this event.No additional information is available.
 
Additional Manufacturer Narrative
D4: unique identifier (udi) #: the serial number (b)(6) is unknown, therefore, the udi number only will contain the device identifier (b)(4).The device serial number is unknown; therefore, a device analysis could not be completed.Should additional relevant information become available, a supplemental report will be submitted.
 
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Brand Name
Novum IQ
Common Device Name
Pump, infusion
Manufacturer (Section D)
BAXTER HEALTHCARE CORPORATION
deerfield IL
Manufacturer (Section G)
ORBRAY THAILAND CO., LTD.
northern region ind. estate
60/29 moo 4, tambol banklang
a.muang, ban klang, lamphun NA 51000
TH   51000
Manufacturer Contact
25212 w. illinois route 120
round lake, IL 60073
+1(224)270-5355
MDR Report Key50897292
Report Number1416980-2026-03028
Device Sequence Number5853016
Product Code FRN
UDI-Device Identifier05413765852428
UDI-Public(01)05413765852428
Combination Product (Y/N)N
Initial Reporter StateOH
Initial Reporter CountryUS
PMA/510(K) Number
K242390
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility,Company Representative
Type of Report Initial
Report Date (Section B) 09/25/2026
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
Operator of Device Health Professional
Device Model Number40800BAXUS
Device Catalogue Number40800BAXUS
Device Lot NumberN/A
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/01/2026
Initial Report FDA Received Date09/25/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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