SOMNTEC PN502

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-01-08 for SOMNTEC PN502 manufactured by Health Dyne (somnitec).

Event Text Entries

[107] On december 3, 1991 multi-channel sleep study was completed. The nasal thermioster was removed. Upon removal, it was noted patient's facial cheek had two small questionable burns. It was noted that the clear plactic covering had slipped down the wires and exposed the face to the soldering joint. Patient was seen by his physician on the morning of december 3, 1991. The physician noticed at this time three burns. The burns wre questionable 1st, 2nd and 3rd degree burns. The physician perscribed bacitracin ointment to the affected areas and saw the patient agin on december 5, 1991. No new treatment was perscribed. The multi-sleep study was sucessful. A bio-medical engineer checked the thermioster box. It worked according to the manufacturer's specification. The thermioster was removed from service. The manufacturer was immediately contacted by respiratory therapydevice not labeled for single use. Patient medical status prior to event: satisfactory condition. There was not multiple patient involvement. Device serviced in accordance with service schedule. Date last serviced: 01-dec-91. Service provided by: other. Service records not available. No imminent hazard to public health claimed. Device used as labeled/intended. Device was evaluated after the event. Method of evaluation: actual device involved in incident was evaluated. Results of evaluation: design, electrical problem. Conclusion: invalid data. Certainty of device as cause of or contributor to event: yes. Corrective actions: user education provided, invalid data. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number199
MDR Report Key199
Date Received1992-01-08
Date of Report1991-12-12
Date of Event1991-12-03
Date Facility Aware1991-12-03
Report Date1991-12-12
Date Reported to FDA1991-12-12
Date Reported to Mfgr1991-12-03
Date Added to Maude1992-04-06
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSOMNTEC
Generic NameINFANT SLEEP SCORING SYSTEM
Product CodeLEL
Date Received1992-01-08
Model NumberPN502
Catalog NumberPN502
Lot NumberUNKNOWN
ID NumberN/A
OperatorOTHER HEALTH CARE PROFESSIONAL
Device Availability*
Device Age01-JUL-91
Implant FlagN
Device Sequence No1
Device Event Key195
ManufacturerHEALTH DYNE (SOMNITEC)


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1992-01-08

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