MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,06,07 report with the FDA on 2014-06-18 for OXIMETER N-560 PULSE OXIMETER N560 manufactured by Mediana.
[4611090]
It was reported to covidien that the unit had a blank display. Covidien technician found that the unit had segments missing in the display. There was no pt involvement.
Patient Sequence No: 1, Text Type: D, B5
[12150560]
Covidien service ctr replaced the front pcb and main board. (b)(4). The serial number of the display pcb precedes a corrective and preventive action taken by the manufacturer.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 2936999-2014-00525 |
| MDR Report Key | 3963284 |
| Report Source | 01,06,07 |
| Date Received | 2014-06-18 |
| Date of Report | 2014-06-12 |
| Date of Event | 2014-05-01 |
| Date Mfgr Received | 2014-06-12 |
| Device Manufacturer Date | 2013-03-01 |
| Date Added to Maude | 2014-08-04 |
| 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 INDUSTRY PARK DONGWHA-RI, MUNMAK-EUP, WONJU-SI |
| Manufacturer City | GONGWON-DO |
| Manufacturer Country | KN |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | OXIMETER N-560 PULSE OXIMETER |
| Generic Name | PULSE OXIMETER |
| Product Code | DPZ |
| Date Received | 2014-06-18 |
| Returned To Mfg | 2014-05-23 |
| Model Number | N-560 |
| Catalog Number | N560 |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MEDIANA |
| Manufacturer Address | DONGWHA-RI, MUNMAK-EUP GANGWON KN |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2014-06-18 |