FDA Adverse Event Malfunction Summary report: N

E360

MDR report key: 2852487 · Received November 15, 2012

Report

Report Number
2023050-2012-00275
Event Type
Malfunction
Date Received
November 15, 2012
Date of Event
October 12, 2012
Report Date
October 25, 2012
Manufacturer
NEWPORT MEDICAL INSTRUMENT
Product Code
CBK
PMA / PMN Number
K053502
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING PATIENT USE, A 'O2 SENSOR ERROR' ALARM OCCURRED. CALIBRATING THE O2 SENSOR COULD NOT SOLVE THE ISSUE. THIS ISSUE WAS RESOLVED BY REPLACING THE O2 SENSOR. THERE WAS NO PATIENT INVOLVEMENT IN THIS CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 E360 CBK NEWPORT MEDICAL INSTRUMENT E360

Patients

Seq Age Sex Outcome Treatment
1