FDA Adverse Event Other Summary report: N

MULTIVIEW WORKSTATION

MDR report key: 865954 · Received June 8, 2007

Report

Report Number
1220063-2007-00009
Event Type
Other
Date Received
June 8, 2007
Date of Event
May 10, 2007
Report Date
June 12, 2007
Manufacturer
DRAEGER MEDICAL SYSTEMS, INC.
Product Code
DSI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE AND SENSOR WAS NOT MADE AVAILABLE TO DRAEGER MEDICAL SYSTEMS FOR EVALUATION. WE HAD REQUESTED THAT THE CITED SP02 SENSOR, PATIENT MONITOR AND SPECIFIC DETAILS AS TO THE PROTOCOL FOR SP02 MEASUREMENT/PATIENT SURVEILLANCE USED AT THE CUSTOMER SITE BE PROVIDED TO DRAEGER MEDICAL SYSTEMS, INC. WE RECEIVED A COMMUNICATION FORM OUR LOCAL OFFICE THAT THE CUSTOMER IS UNABLE TO SUPPLY US WITH REQUESTED INFORMATION NEEDED TO INVESTIGATE THE REPORTED INCIDENT. THE CUSTOMER HAS FURTHER REPORTED THAT THEY ARE HAPPY WITH THE PERFORMANCE OR OUR SP02 MONITORING SYSTEM AND THAT NO OTHER REPORTED INCIDENTS OF THIS TYPE HAVE OCCURRED. BASED ON THE INFORMATION RECEIVED FROM OUR LOCAL OFFICE VIA COMMUNICATIONS RECEIVED FROM THE CUSTOMER, WE ARE UNABLE TO PERFORM AN EFFECTIVE INVESTIGATION TO DETERMINE THE ROOT CAUSE OF THE REPORTED INCIDENT. WE DID, HOWEVER, REQUEST THAT OUR LOCAL OFFICE COMMUNICATE TO THE CUSTOMER TO BE AWARE OF OUR PRECAUTIONS LISTED IN OUR INSTRUCTIONS FOR USE WITH REGARD TO SP02 MONITORING THAT INDICATE "CHECK THE SENSOR AT LEAST EVERY FOUR HOURS. MOVE THE SENSOR IF THERE IS ANY SIGN OF SKIN IRRITATION OR IMPAIRED CIRCULATION".

Description of Event or Problem · 1

A CUSTOMER HAS REPORTED THAT AFTER USING A DRAEGER MEDICAL SYSTEMS DELTA PATIENT MONITOR AND SUPPLIED SP02 SENSOR ON AN INFANT, IT WAS NOTICED THAT THE SKIN WAS SLIGHTLY BURNED (INTACT BUT RED).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MULTIVIEW WORKSTATION OXYGEN SATURATION PROBE DSI DRAEGER MEDICAL SYSTEMS, INC. 7496974 NA

Patients

Seq Age Sex Outcome Treatment
1 NI YR Other