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