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