FDA Adverse Event Malfunction Summary report: N

SCP-10 SENSOR INTERFACE CABLE

MDR report key: 1063567 · Received June 18, 2008

Report

Report Number
2936999-2008-00305
Event Type
Malfunction
Date Received
June 18, 2008
Date of Event
April 28, 2008
Report Date
June 13, 2008
Manufacturer
COVIDIEN, FORMERLY TYCO HEALTHCARE
Product Code
DQA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS DISCARDED BY THE USER FACILITY. THERE HAS BEEN NO SIMILAR COMPLAINTS REPORTED FOR THIS PRODUCT.

Description of Event or Problem · 1

THE NPB295 OXIMETER PROVIDED 100% READINGS AND IT WAS ISOLATED TO THE SCP-10 CABLE. THERE WAS NO PT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SCP-10 SENSOR INTERFACE CABLE SCP-10 INTERFACE CABLE DQA COVIDIEN, FORMERLY TYCO HEALTHCARE SCP-10

Patients

Seq Age Sex Outcome Treatment
1