FDA Adverse Event
Malfunction
Summary report: N
LNOP DCI-P
MDR report key: 4213256
·
Received October 3, 2014
Report
- Report Number
- 2031172-2014-00222
- Event Type
- Malfunction
- Date Received
- October 3, 2014
- Date of Event
- July 31, 2014
- Report Date
- September 3, 2014
- Manufacturer
- MASIMO CORPORATION
- Product Code
- DQA
- PMA / PMN Number
- K033998
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
"THE RETURNED DEVICE WAS EVALUATED. DURING AN INTERNAL INSPECTION OF THE DEVICE, THE SENSOR WAS FOUND TO HAVE A SHORT ON THE DETECTOR CIRCUIT. THE RETURNED RAD-5 WAS UNABLE TO OBTAIN ANY READING AND A "SEN OFF" MESSAGE WAS DISPLAYED". A LOT REVIEW REVEALS THAT THIS UNIT WAS IN THE FIELD FOR OVER EIGHT YEARS WITH NO PREVIOUS REPORTED ISSUES PRIOR TO THIS REPORTED EVENT.
Description of Event or Problem · 1
PROBLEM: INCORRECT READING OF SPO2, BIOMED TESTED IT AND GAVE A WRONG READING 87/88%. WITH THE SAME SENSOR ON A RADICAL WHICH WORKS PROPERLY BIOMED GIVE A CORRECT READING OF 98/99%. NO PATIENT AFFECTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 620970 | LNOP DCI-P | OXIMETER | DQA | MASIMO CORPORATION | 1276 | A06B051 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |