FDA Adverse Event Summary report: N

RADICAL-7 HANDHELD

MDR report key: 4093251 · Received September 5, 2014

Report

Report Number
2031172-2014-00179
Date Received
September 5, 2014
Date of Event
July 20, 2014
Report Date
August 8, 2014
Manufacturer
MASIMO CORPORATION
Product Code
DQA
PMA / PMN Number
K120657
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE RADICAL 7 INVOLVED IN THIS EVENT WAS RETURNED FOR EVALUATION. THE RETURNED DEVICE PASSED ALL TESTING INCLUDING A VISUAL INSPECTION AND FUNCTIONAL TESTING WITH A KNOWN GOOD SENSOR. THE RETURNED DEVICE WAS CONFIRMED TO BE FUNCTIONING AS DESIGNED. ATTEMPTS FOR THE RETURN OF THE SENSOR AS WELL AS ADDITIONAL INFORMATION REQUESTS HAVE BEEN MADE IN ORDER TO IDENTIFY THE SENSOR INVOLVED IN THE REPORTED EVENT. AS OF THE DATE OF THIS REPORT, THE SENSOR HAS NOT BEEN RECEIVED BY MASIMO TO ALLOW FOR AN ANALYSIS TO BE PERFORMED. IF NEW INFORMATION IS OBTAINED, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE "MACHINE SHOWS READING EVEN THE PROBE WAS NOT TIED IN THE BABY'S HAND (OR) FOOT. EVEN DIED BABY'S IT SHOWS READING."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
543251 RADICAL-7 HANDHELD DQA MASIMO CORPORATION 9500

Patients

Seq Age Sex Outcome Treatment
1 Death