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 |