FDA Adverse Event
Malfunction
Summary report: N
V-SAT VETERINARY SENSOR
MDR report key: 8024785
·
Received October 31, 2018
Report
- Report Number
- 9610849-2018-00047
- Event Type
- Malfunction
- Date Received
- October 31, 2018
- Report Date
- October 31, 2018
- Manufacturer
- NELLCOR PURITAN BENNETT MEXICO SA
- Product Code
- DQA
- PMA / PMN Number
- K162014
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
Description of Event or Problem · 1
ACCORDING TO THE REPORTER, THE DEVICE WAS USED ON PATIENT AND PATIENT¿S TONGUE GOT SWOLLEN. IT WAS STATED THAT THE DEVICE WAS TESTED AND THE AVERAGE TEMPERATURE WAS AROUND 75.2 DEGREES FAHRENHEIT. IT WAS REPORTED THAT THE ISSUE WAS CAUSED BY PRESSURE AND THERE WERE FLUIDS AROUND THE ANIMAL TONGUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 864035 | V-SAT VETERINARY SENSOR | OXIMETER | DQA | NELLCOR PURITAN BENNETT MEXICO SA | V-SAT | 1735204H |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |