FDA Adverse Event
Malfunction
Summary report: N
SPO2 CABLE
MDR report key: 21738452
·
Received April 1, 2025
Report
- Report Number
- 21738452
- Event Type
- Malfunction
- Date Received
- April 1, 2025
- Date of Event
- March 14, 2025
- Report Date
- March 28, 2025
- Manufacturer
- PHILIPS MEDIZIN SYSTEME BOEBLINGEN GMBH
- Product Code
- DQA
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
SPO2 [SATURATION OF PERIPHERAL OXYGEN] PROBE WAS APPLIED TO PATIENT AND CONNECTED TO ADAPTER CABLE AND CONNECTED TO THE MACHINE. MACHINE UNABLE TO PROVIDE SPO2 READING. ADAPTER CABLE REPLACED AND ABLE TO OBTAIN SPO2 READING. THIS CAUSED A DELAY IN PATIENT CARE, NO KNOW HARM TO THE PATIENT AT THIS TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1165466 | SPO2 CABLE | OXIMETER | DQA | PHILIPS MEDIZIN SYSTEME BOEBLINGEN GMBH | M1943AL | 1224 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Unknown |