FDA Adverse Event Malfunction Summary report: N

OXIMAX N-560 PULSE OXIMETER

MDR report key: 3971135 · Received April 29, 2014

Report

Report Number
2936999-2014-00382
Event Type
Malfunction
Date Received
April 29, 2014
Date of Event
March 27, 2014
Report Date
April 1, 2014
Manufacturer
PEDIANA
Product Code
DQA
PMA / PMN Number
K012891
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KN
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE DISPLAY PCB WAS CHANGED (B)(4). THE SERIAN NUMBER OF THE DISPLAY PCB PRECEDES A CORRECTIVE AND PREVENTIVE ACTION TAKEN BY THE MANUFACTURER.

Description of Event or Problem · 1

IT WAS REPORTED TO COVIDIEN THAT THE UNIT COULD NOT DISPLAY THE 7 SEGMENTS CLEARLY. THERE WAS NO PATIENT INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
256196 OXIMAX N-560 PULSE OXIMETER PULSE OXIMETER DQA PEDIANA N-550

Patients

Seq Age Sex Outcome Treatment
1