FDA Adverse Event Malfunction Summary report: N

V-SAT VETERINARY SENSOR

MDR report key: 10254030 · Received July 9, 2020

Report

Report Number
2936999-2020-00477
Event Type
Malfunction
Date Received
July 9, 2020
Date of Event
February 7, 2020
Report Date
July 9, 2020
Manufacturer
NELLCOR PURITAN BENNETT MEXICO SA
Product Code
DQA
PMA / PMN Number
K162014
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

ACCORDING TO THE REPORTER, DURING THE OPERATION WITH SPO2 MEASUREMENT, WHITE BURN-LIKE EROSION WAS PRODUCED AT THE SENSOR SITE. DURING THE OPERATION, THE SENSOR STAYED PUT AT THE SAME SITE ON THE TONGUE FOR 15 MINUTES WITHOUT CHANGING THE SITE BUT THE DOCTOR SWADDLED THE TONGUE WITH A WATER-WETTED GAUZE BEFORE PLACING SENSOR. ALSO A SHEET TO BLOCK OUT LIGHT WAS COVERING THE SENSOR SITE DURING THE SPO2 MEASUREMENT. THERE WAS NO REPORTED PATIENT OUTCOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
714746 V-SAT VETERINARY SENSOR OXIMETER DQA NELLCOR PURITAN BENNETT MEXICO SA V-SAT 171490102H

Patients

Seq Age Sex Outcome Treatment
1