FDA Adverse Event
Malfunction
Summary report: N
HB-SO2 TWIN 2.0M SENSOR 9/16"(3/8 X 3/32)
MDR report key: 23334652
·
Received October 20, 2025
Report
- Report Number
- 3006073135-2025-00261
- Event Type
- Malfunction
- Date Received
- October 20, 2025
- Date of Event
- October 9, 2025
- Report Date
- October 20, 2025
- Manufacturer
- SPECTRUM MEDICAL LTD.
- Product Code
- DRY
- UDI-DI
- 05060434420602
- PMA / PMN Number
- K202557
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
DEVICE BEING RETURNED, TO BE INVESTIGATED ON RETURN.
Description of Event or Problem · 0
A SAT/HGB PROBE WAS REPORTED AS DISPLAYING!!! FOR SAO2 AND HGB READINGS. THE CLINICAL TEAM PERFORMED A HARD REBOOT OF THE PROBE AND TRIED IT ON A SUBSEQUENT CASE WITH THE SAME RESULT. UNFORTUNATELY, THIS IS BEING REPORTED A WEEK AFTER THE FACT AND THE CLINICAL TEAM IS NOT SURE WHICH QWS THIS OCCURRED ON.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 323105 | HB-SO2 TWIN 2.0M SENSOR 9/16"(3/8 X 3/32) | EXTRACORPOREAL BLOOD GAS/PH | DRY | SPECTRUM MEDICAL LTD. | HBS4-200 | 05060434420602 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |