SOMNITEC PN502

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-07-27 for SOMNITEC PN502 manufactured by Health Dyne (somnitec).

Event Text Entries

[2297] 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 questionnable burns. Nasal thermioster which measures flow for the multi-channel sleep study has a clear plastic protective covering over the soldering joint to the cannula. It was noted that the clear plastic covering had slipped down the wires and exposed the face to the soldering joint. Patient was seen by his physician on the moring of december 3, 1991. The physician noted at this time three burns. The burns were questionnable 1st, 2nd, and 3rd degree burns. The physician ordered bacitracin ointment to the affected areas. The physician saw the patient again on december 5, 1991. No new treatment was prescribed. The physician will see the patient again in two weeks. Device 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, performance tests performed. Results of evaluation: manufacturing. Conclusion: device failure directly caused event. Certainty of device as cause of or contributor to event: yes. Corrective actions: device permanently removed from service. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3708
MDR Report Key3708
Date Received1992-07-27
Date of Report1991-12-03
Date of Event1991-12-03
Date Facility Aware1991-12-03
Report Date1991-12-03
Date Reported to Mfgr1991-12-03
Date Added to Maude1993-04-30
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 NameSOMNITEC
Generic NameINFANT SLEEP SCORING SYSTEM
Product CodeLEL
Date Received1992-07-27
Model NumberPN502
Catalog NumberPN502
Lot NumberUNKNOWN
ID NumberNA
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Device Age01-JUL-91
Implant FlagN
Device Sequence No1
Device Event Key3454
ManufacturerHEALTH DYNE (SOMNITEC)


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1992-07-27

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