MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2014-03-28 for OXIMAX N-560 PULSE OXIMETER manufactured by Mediana.
[19925690]
Received a report of a n-560 with a missing segment and intermittent segments of the display. No patient harm was reported.
Patient Sequence No: 1, Text Type: D, B5
[20301734]
(b)(4). Upon investigation the reported intermittent fault was verified, and isolated to cracked solder joints on both the front board and main pcb board.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 2936999-2014-00244 |
| MDR Report Key | 3817475 |
| Report Source | 06 |
| Date Received | 2014-03-28 |
| Date of Report | 2014-03-10 |
| Date of Event | 2014-03-01 |
| Date Mfgr Received | 2014-03-10 |
| Device Manufacturer Date | 2013-01-01 |
| Date Added to Maude | 2014-06-04 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | DENISE BRAXTON |
| Manufacturer Street | 6135 GUNBARREL AVE. |
| Manufacturer City | BOULDER CO 80301 |
| Manufacturer Country | US |
| Manufacturer Postal | 80301 |
| Manufacturer Phone | 3038768909 |
| Manufacturer G1 | MEDIANA |
| Manufacturer Street | WONJU MEDICAL INDUSTRY PARK DONGHWA-RI, MUNMAK-EUP. WONJU-SI |
| Manufacturer City | GANWON-DO |
| Manufacturer Country | KN |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | OXIMAX N-560 PULSE OXIMETER |
| Generic Name | PULSE OXIMETER |
| Product Code | DPZ |
| Date Received | 2014-03-28 |
| Returned To Mfg | 2014-03-13 |
| Model Number | N-560 |
| Catalog Number | N-560 |
| Operator | LAY USER/PATIENT |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MEDIANA |
| Manufacturer Address | WONJU INDUSTRY PARK DONGHWA-RI, MUNMAK-EUP GANGWON-DO KN |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2014-03-28 |