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