BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COVIDIEN NELLCOR

    MDR report key: 1982931 · Received February 3, 2011

    Report

    Report Number
    1982931
    Event Type
    Malfunction
    Date Received
    February 3, 2011
    Date of Event
    February 2, 2011
    Report Date
    February 3, 2011
    Manufacturer
    ASCENT HEALTHCARE SOLUTIONS
    Product Code
    DQA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PULSE OXIMETER FAILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COVIDIEN NELLCOR PULSE OXIMETER DQA ASCENT HEALTHCARE SOLUTIONS * 1412936

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR