MAUDE MDR 1353288

MDR report key
1353288
Report number
2936999-2009-00086
Event key
0
Event type
3
Date of event
2009-01-01
Date received
2009-02-18
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
HOLLY GOMES, QA SUPERVISOR
Address
5870 STONERIDGE DR. SUITE 6 PLEASANTON CA 94588 US
Phone
925-925-9255
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1OXIMAX N595 PULSE OXIMETERPULSE OXIMETERCOVIDIEN, FORMERLY TYCOHEALTHCAREDQAN595R Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12009-02-180

Event Narratives#

D

Patient 1

THE COMPANY RECEIVED A REPORT FROM A BIOMEDICAL ENGINEER THAT THE UNIT DID NOT PROVIDE AN AUDIO TONE.

N

Patient 1

THE CUSTOMER HAS ISOLATED THE FAILURE TO THE MAIN BOARD. THE MONITOR WILL BE RETURNED FOR FAILURE INVESTIGATION. IF NEW INFORMATION IS IDENTIFIED RELATED TO THE REPORTED FAILURE A SUPPLEMENTAL REPORT WILL BE PROVIDED.