FDA Adverse Event
Malfunction
Summary report: N
RESPSENSE
MDR report key: 8707034
·
Received June 18, 2019
Report
- Report Number
- 8707034
- Event Type
- Malfunction
- Date Received
- June 18, 2019
- Date of Event
- December 28, 2018
- Report Date
- June 14, 2019
- Manufacturer
- NONIN MEDICAL, INC.
- Product Code
- CCK
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
BIOMED CHECKED THE UNIT, WAS WORKING FINE IN FACT USED IN ANOTHER ROOM. THE UNIT GOT MOVED TO ANOTHER CATH LAB ROOM AND REPORTED NOT WORKING THERE. BIOMED TECH WILL RE-CAL/CHECK THE UNIT JUST TO MAKE SURE. USER ERROR IDENTIFIED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 500630 | RESPSENSE | ANALYZER, GAS, CARBON-DIOXIDE, GASEOUS-PHASE | CCK | NONIN MEDICAL, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 29200 DA |