FDA Adverse Event Malfunction Summary report: N

OXIMAX N-595 PULSE OXIMETER

MDR report key: 1733197 · Received June 14, 2010

Report

Report Number
2936999-2010-00957
Event Type
Malfunction
Date Received
June 14, 2010
Date of Event
May 1, 2010
Report Date
May 20, 2010
Manufacturer
COVIDIEN, FORMERLY TYCOHEALTHCARE
Product Code
DQA
PMA / PMN Number
K012891
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

ON 05/20/2010, NEW INFORMATION WAS RECEIVED FROM SERVICE SITE INDICATING THAT DURING REPAIR OF THE UNIT, NO AUDIO WAS OBSERVED AND ISOLATED TO THE MAIN PCB.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OXIMAX N-595 PULSE OXIMETER PULSE OXIMETER DQA COVIDIEN, FORMERLY TYCOHEALTHCARE

Patients

Seq Age Sex Outcome Treatment
1