FDA Adverse Event Malfunction Summary report: N

RADICAL-7

MDR report key: 5072498 · Received September 11, 2015

Report

Report Number
2031172-2015-01089
Event Type
Malfunction
Date Received
September 11, 2015
Date of Event
August 12, 2015
Report Date
August 12, 2015
Manufacturer
MASIMO CORPORATION
Product Code
DQA
PMA / PMN Number
K110028
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SA
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE RETURNED DEVICE WAS EVALUATED. DURING THIS TESTING THE UNIT WAS ABLE TO POWER ON, HOWEVER, THE LCD DISPLAY LOOKED CRACKED AND HAD LINES ACROSS THE SCREEN. THE LCD WAS REPLACED AND THE UNIT FUNCTIONED AS DESIGNED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE HAD A PROBLEM WITH THE SCREEN. THERE WERE NO CONSEQUENCES OR IMPACT TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
601606 RADICAL-7 OXIMETER DQA MASIMO CORPORATION 25052

Patients

Seq Age Sex Outcome Treatment
1