FDA Adverse Event
Malfunction
Summary report: N
OXIMAX N-560 PULSE OXIMETER
MDR report key: 2013562
·
Received February 2, 2011
Report
- Report Number
- 2936999-2011-00039
- Event Type
- Malfunction
- Date Received
- February 2, 2011
- Date of Event
- January 1, 2011
- Report Date
- January 10, 2011
- Manufacturer
- NELLCOR PURITAN BENNETT
- Product Code
- DQA
- PMA / PMN Number
- K021090
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
COVIDIEN EVAL FOUND THROUGH VISUAL EXAMINATION THAT THE BLACK WIRE OF THE SPEAKER ASSEMBLY WAS CUT RESULTING IN A LOSS OF AUDIO FUNCTION. THE CUT WAS LOCATED BETWEEN THE FRONT PANEL BRACKET AND THE BATTERY HOUSING.
Description of Event or Problem · 1
COVIDIEN REC'D A REPORT OF A N-560 THAT HAD NO AUDIO. THE N-560 DID NOT SOUND POWER ON SELF TEST (POST). CUSTOMER REPORTS THAT IT OCCURRED A WEEK PRIOR AND THAT THERE WAS NO PT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | OXIMAX N-560 PULSE OXIMETER | PULSE OXIMETER | DQA | NELLCOR PURITAN BENNETT | N-560 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |