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