FDA Adverse Event Malfunction Summary report: N

V-SAT VETERINARY SENSOR

MDR report key: 8496138 · Received April 9, 2019

Report

Report Number
2936999-2019-00263
Event Type
Malfunction
Date Received
April 9, 2019
Date of Event
March 19, 2019
Report Date
April 2, 2020
Manufacturer
NELLCOR PURITAN BENNETT MEXICO SA
Product Code
DQA
PMA / PMN Number
K162014
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFO: G4, H3, H6(FDM) H3 EVALUATION SUMMARY: THE SAMPLE HAS BEEN DEEMED LOST AT THIS TIME AND IF LOCATED, THE FILE WILL BE REOPENED AT THAT TIME. WITHOUT THE PHYSICAL PRODUCT, A DEFINITIVE ROOT CAUSE COULD NOT BE IDENTIFIED. POST MARKET VIGILANCE WILL CONTINUE TO MONITOR THIS CONDITION FOR FUTURE POTENTIAL ACTION. RECORDS FROM EACH MANUFACTURING LOT/SERIAL ARE THOROUGHLY REVIEWED TO ENSURE THAT PRODUCTS ARE RELEASED MEETING ALL QUALITY RELEASE SPECIFICATIONS AT THE TIME OF MANUFACTURE. INFORMATION HAS BEEN ADDED TO THE DATABASE AND TRENDS WILL CONTINUE TO BE MONITORED. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

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 CAUSED AN ULCER TONGUE LACERATION TO AN ANIMAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
289699 V-SAT VETERINARY SENSOR OXIMETER DQA NELLCOR PURITAN BENNETT MEXICO SA V-SAT 180260229H

Patients

Seq Age Sex Outcome Treatment
1