FDA Adverse Event Malfunction Summary report: N

OXIMAX N-560 PULSE OXIMETER

MDR report key: 3231737 · Received July 12, 2013

Report

Report Number
2936999-2013-00499
Event Type
Malfunction
Date Received
July 12, 2013
Date of Event
May 7, 2013
Report Date
May 10, 2013
Manufacturer
NELLCOR PURITAN BENNETT
Product Code
DQA
PMA / PMN Number
K012891
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

COVIDIEN SERVICE CTR REPLACED THE FRONT PCB, MAIN PCB, AND MAIN FRONT FLAT CABLE. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED A MALFUNCTION OF THE DISPLAY. THE (B)(4) SERVICE CENTER DETERMINED THAT THE DISPLAY WAS MISSING A HEART RATE SEGMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
322795 OXIMAX N-560 PULSE OXIMETER PULSE OXIMETER DQA NELLCOR PURITAN BENNETT N-560

Patients

Seq Age Sex Outcome Treatment
1