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 |