FDA Adverse Event Malfunction Summary report: N

OXIMAX N-560 PULSE OXIMETER

MDR report key: 3231738 · Received July 12, 2013

Report

Report Number
2936999-2013-00498
Event Type
Malfunction
Date Received
July 12, 2013
Date of Event
June 17, 2013
Report Date
June 17, 2013
Manufacturer
NELLCOR PURITAN BENNETT
Product Code
DQA
PMA / PMN Number
K012891
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

COVIDIEN RECEIVED A REPORT OF A N-560 WITH A SINGLE SEGMENT MISSING ON THE SPO2 SIDE OF THE DISPLAY. NO PT INVOLVEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
322289 OXIMAX N-560 PULSE OXIMETER PULSE OXIMETER DQA NELLCOR PURITAN BENNETT N-560

Patients

Seq Age Sex Outcome Treatment
1