FDA Adverse Event Death Summary report: N

NONIN AVANT MODEL 9600

MDR report key: 2097563 · Received May 12, 2011

Report

Report Number
2183646-2011-00002
Event Type
Death
Date Received
May 12, 2011
Date of Event
June 12, 2010
Report Date
May 12, 2011
Manufacturer
NONIN MEDICAL, INC.
Product Code
DQA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

A REPORT WAS RECEIVED INDICATING THAT AN AVANT 9600 PULSE OXIMETER SYSTEM ALLEGEDLY DID NOT ALARM WHILE MONITORING A PT ON VENTILATOR SUPPORT. IT IS ALLEGED THAT THE VENTILATOR (NOT MANUFACTURED BY NONIN) ALSO DID NOT ALARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NONIN AVANT MODEL 9600 PULSE OXIMETER DQA NONIN MEDICAL, INC. 9600

Patients

Seq Age Sex Outcome Treatment
1 7 YR Death THERE WAS A VENTILATOR ALSO ATTACHED TO THE PT.