FDA Adverse Event
Injury
Summary report: N
LNOP NEO-L
MDR report key: 4251798
·
Received November 6, 2014
Report
- Report Number
- 2031172-2014-00377
- Event Type
- Injury
- Date Received
- November 6, 2014
- Date of Event
- September 21, 2014
- Report Date
- October 7, 2014
- Manufacturer
- MASIMO CORPORATION
- Product Code
- DQA
- PMA / PMN Number
- K111888
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE HAS BEEN RETURNED TO MASIMO FOR EVALUATION. WHEN THE INVESTIGATION IS COMPLETE, A FOLLOW UP REPORT WILL BE SUBMITTED.
Description of Event or Problem · 1
IT WAS REPORTED THERE WAS A MINOR SKIN DAMAGE AT THE SENSOR PLACEMENT AREA. THE SENSOR WAS PLACED ON THE BOTTOM OF PATIENT'S RIGHT FOOT. AFTER 7 HOURS, NURSE FOUND REDNESS (APPROXIMATED 5 MM) AND SLIGHT SKIN PEELING AFTER ATTEMPTING TO REMOVE THE SENSOR. THE AFFECTED SITE HEALED BY ITSELF WITHOUT ANY MEDICAL INTERVENTION. IT WAS CONFIRMED THAT PATIENT IS DOING FINE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 714809 | LNOP NEO-L | OXIMETER | DQA | MASIMO CORPORATION | 1798-1 | 14C05 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 DA |