FDA Adverse Event Other Summary report: N

NONIN

MDR report key: 1403306 · Received June 8, 2009

Report

Report Number
2183646-2009-00001
Event Type
Other
Date Received
June 8, 2009
Date of Event
May 12, 2009
Report Date
June 5, 2009
Manufacturer
NONIN MEDICAL, INC.
Product Code
DQA
PMA / PMN Number
K080255
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL MODEL# : 7500. INSTRUCTIONS FOR USE CAUTIONS OPERATOR TO INSPECT THE SENSOR APPLICATION SITE AT LEAST EVERY 6 TO 8 HOURS TO ENSURE CORRECT SENSOR ALIGNMENT AND SKIN INTEGRITY. PATIENT SENSITIVITY TO SENSORS MAY VARY DUE TO MEDICAL STATUS OR SKIN CONDITION. IT ALSO CAUTIONS OPERATOR NOT TO STRETCH THE ADHESIVE TAPE WHILE APPLYING THE SENSOR. THIS MAY CAUSE INACCURATE READINGS OR SKIN BLISTERS.

Description of Event or Problem · 1

IT WAS REPORTED THAT A (B)(6) BOY NAMED (B)(6) DEVELOPED A "BLISTER" ON HIS TOE FROM AN ALLEGED "BURN" FROM A 934 SENSOR USED WITH A MODEL 7500 PULSE OXIMETER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NONIN FLEX SENSOR DQA NONIN MEDICAL, INC. 934

Patients

Seq Age Sex Outcome Treatment
1 4 YR Other