FDA Adverse Event Injury Summary report: N

MASIMOSET LNCS TC-I SPO2 REUSABLE EAR SENSOR

MDR report key: 11990730 · Received June 14, 2021

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Report

Report Number
11990730
Event Type
Injury
Date Received
June 14, 2021
Date of Event
June 1, 2021
Report Date
June 7, 2021
Product Code
DPZ
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
ME
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

NARRATIVE FROM STAFF: THE PATIENT WAS FOUND WITH AN UNSTAGEABLE PRESSURE INJURY TO THE RIGHT NARIS RELATED TO AN OXYGEN SENSOR CLIP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
890898 MASIMOSET LNCS TC-I SPO2 REUSABLE EAR SENSOR OXIMETER, EAR DPZ 1895 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 16060 DA Required Intervention