BEUDAMED
    FDA Adverse Event Injury Summary report: N

    OXIMETER 10' EXTENSION CABLE - NELLCOR

    MDR report key: 1621663 · Received February 19, 2010

    Report

    Report Number
    1320894-2010-00018
    Event Type
    Injury
    Date Received
    February 19, 2010
    Date of Event
    January 21, 2010
    Report Date
    February 18, 2010
    Manufacturer
    SPACE LABS
    Product Code
    DQA
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT "WHILE USING THE CABLE WITH A NELLCOR OXYMAX SATUROMETER, THE SATURATION OF A YOUNG PT WAS 100% WITH A VENTIMASK BUT WITH A PORTABLE OXIMETER. THE REAL SATURATION WAS 70% AND THE PT NEEDED IMMEDIATE ASSISTANCE AND INTUBATION."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OXIMETER 10' EXTENSION CABLE - NELLCOR OXIMETER 10' EXTENSION CABLE DQA SPACE LABS NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Required Intervention