FDA Adverse Event
Malfunction
Summary report: N
OXIMAX N-560 PULSE OXIMETER
MDR report key: 3888552
·
Received April 30, 2014
Report
- Report Number
- 2936999-2014-00360
- Event Type
- Malfunction
- Date Received
- April 30, 2014
- Date of Event
- April 1, 2014
- Report Date
- April 14, 2014
- Manufacturer
- MEDIANA
- Product Code
- DPZ
- 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). THE UNIT PASSED ALL FUNCTIONAL TESTS WITHOUT AN INTERMITTENT FAILURE; HOWEVER, UPON VISUAL INSPECTION SOLDER DEFECTS WERE IDENTIFIED ON THE FRONT PCB AND MAIN PCB BOARDS. THESE BOARDS WERE REPLACED.
Description of Event or Problem · 1
RECEIVED A REPORT THAT THE N-560 IS INTERMITTENTLY MISSING SEGMENTS ON THE SATURATION PORTION OF THE DISPLAY. THE FAILURE HAPPENED DURING PREVENTIVE MAINTENANCE WHEN THE DEVICE WAS NOT BEING USED ON A PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 258530 | OXIMAX N-560 PULSE OXIMETER | PULSE OXIMETER | DPZ | MEDIANA | N-560 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |