FDA Adverse Event
Malfunction
Summary report: N
RAD-8
MDR report key: 4932641
·
Received July 17, 2015
Report
- Report Number
- 2031172-2015-00948
- Event Type
- Malfunction
- Date Received
- July 17, 2015
- Date of Event
- June 19, 2015
- Report Date
- June 19, 2015
- Manufacturer
- MASIMO CORPORATION
- Product Code
- DQA
- PMA / PMN Number
- K092838
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THE RETURNED DEVICE WAS EVALUATED. DURING THIS TESTING THE UNIT WAS FOUND TO HAVE AN OPEN SPEAKER. THE SPEAKER WAS REPLACED AND THE UNIT FUNCTIONED AS DESIGNED.
Description of Event or Problem · 1
IT WAS REPORTED BY THE CUSTOMER THAT THE UNIT HAS LOOSE PARTS INSIDE THE DEVICE, AND ALSO STATES THAT THE ALARM SOUND FUNNY. ADDITIONAL INFORMATION RECEIVED THE CUSTOMER MENTIONED NO ERROR CODES OR MESSAGES WAS OBSERVED, AND THE DISPLAY WORKED FINE. THE CUSTOMER ALSO STATED THE SPEAKER SOUNDS DISTORTED OR MUFFLED. THERE WAS NO KNOWN PATIENT IMPACT OR CONSEQUENCES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 465120 | RAD-8 | OXIMETER | DQA | MASIMO CORPORATION | 22042 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |