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 |