FDA Adverse Event
Malfunction
Summary report: N
RESPARRAY
MDR report key: 21220308
·
Received January 22, 2025
Report
- Report Number
- MW5165151
- Event Type
- Malfunction
- Date Received
- January 22, 2025
- Date of Event
- December 19, 2024
- Report Date
- January 16, 2025
- Manufacturer
- MEDTRONIC / EDAN INSTRUMENTS, INC.
- Product Code
- MHX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- AZ, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PATIENT ON RESPARRAY PULSE OX MONITOR, WHEN MONITOR STOPPED PICKING UP READING FOR PATIENT'S PULSE AND OXYGEN LEVEL, THE DEVICE DID NOT SEND OUT AN ALARM THAT WAS NOTICEABLE TO STAFF TO IMMEDIATELY RESPOND.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 606039 | RESPARRAY | MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS) | MHX | MEDTRONIC / EDAN INSTRUMENTS, INC. | RESPARRAYAHA01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 70 YR | Male | Other |