FDA Adverse Event Malfunction Summary report: N

OXIMAX N-560 PULSE OXIMETER

MDR report key: 3807195 · Received March 21, 2014

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Report

Report Number
2936999-2014-00270
Event Type
Malfunction
Date Received
March 21, 2014
Date of Event
February 21, 2014
Report Date
February 21, 2014
Manufacturer
MEDIANA
Product Code
DPZ
PMA / PMN Number
K012891
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE FAULTY DISPLAY WAS CONFIRMED. THE FRONT PANEL WAS REPLACED. (B)(4). SERIAL NUMBER OF THE FRONT PCB PRECEDES A CORRECTIVE AND PREVENTATIVE ACTION TAKEN BY THE MANUFACTURER.

Description of Event or Problem · 1

IT WAS REPORTED TO COVIDIEN OF A FAULTY DISPLAY, THE SEGMENTS ON DISPLAY ARE NOT ILLUMINATING. SOME OF THE SEGMENTS ARE BLANK. NO PATIENT HARM REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
169199 OXIMAX N-560 PULSE OXIMETER PULSE OXIMETER DPZ MEDIANA N-560

Patients

Seq Age Sex Outcome Treatment
1