FDA Adverse Event Malfunction Summary report: N

OXIMAX N-595 PULSE OXIMETER

MDR report key: 1926048 · Received November 10, 2010

Report

Report Number
2936999-2010-01312
Event Type
Malfunction
Date Received
November 10, 2010
Date of Event
October 1, 2010
Report Date
October 14, 2010
Manufacturer
COVIDIEN, FORMERLY TYCO HEALTHCARE
Product Code
DQA
PMA / PMN Number
K012891
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ON 10/14/2010, NEW INFO WAS RECEIVED FROM SERVICE SITE INDICATING THAT DURING SERVICE REPAIR OF THE UNIT, NO AUDIO WAS OBSERVED AND ISOLATED TO A FAULTY SPEAKER. BASED ON THE NEW INFO, THE COMPLAINT HAS BEEN REVIEWED FOR DISPOSITION ON MDR REPORTING. THE SPEAKER ASSEMBLY WAS REPLACED AND THE UNIT PASSED ALL FUNCTIONAL TESTING.

Description of Event or Problem · 1

ON 10/14/2010, NEW INFO WAS RECEIVED FROM SERVICE SITE INDICATING THAT DURING SERVICE REPAIR OF THE UNIT, NO AUDIO WAS OBSERVED AND ISOLATED TO A FAULTY SPEAKER.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1