MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2002-10-21 for N400 OXIFIRST FETAL OXYGEN SATURATION MONITOR N400USA manufactured by Nellcor Puritan Bennett, Inc..
[255681]
A mother gave birth to patient who experienced severe metabolic acidosis at birth. Bradycardia and loss of variability was noted. The readings eventually rose to 43-45% for about 3 minutes. The fspo2 reading was then lost again as the fhr decelerated to 70 bpm repeatedly. After 1707, no fspo2 readings readings were obtained. Vaginal birth delivery. Patient experienced shoulder dystocia and cord obstruction from a nuchal cord. After corrective measures, patient was discharged for routine care.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2025525-2002-00032 |
| MDR Report Key | 423140 |
| Report Source | 05,06 |
| Date Received | 2002-10-21 |
| Date of Report | 2002-10-04 |
| Date of Event | 2002-03-27 |
| Date Mfgr Received | 2002-04-08 |
| Date Added to Maude | 2002-10-23 |
| 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 | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 0 |
| Manufacturer Contact | JAMES GARVEY II |
| Manufacturer Street | 4280 HACIENDA DRIVE |
| Manufacturer City | PLEASANTON CA 94588 |
| Manufacturer Country | US |
| Manufacturer Postal | 94588 |
| Manufacturer Phone | 9254634479 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Remedial Action | OT |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | N400 OXIFIRST FETAL OXYGEN SATURATION MONITOR |
| Generic Name | FETAL PULSE OXIMETER |
| Product Code | MMA |
| Date Received | 2002-10-21 |
| Model Number | N400 |
| Catalog Number | N400USA |
| Lot Number | NA |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | UNKNOWN |
| Device Eval'ed by Mfgr | N |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 412194 |
| Manufacturer | NELLCOR PURITAN BENNETT, INC. |
| Manufacturer Address | 2200 FARADAY AVE. CARLSBAD CA 920087208 US |
| Baseline Brand Name | OXIFIRST FETAL OXYGEN SATURATION MONITORING SYSTEM |
| Baseline Generic Name | FETAL PULSE OXIMETER |
| Baseline Model No | N400 |
| Baseline Device Family | N400 |
| Baseline Shelf Life [Months] | NA |
| Baseline PMA Flag | Y |
| Premarket Approval | P9900 |
| Baseline 510K PMN | N |
| Baseline Preamendment | N |
| Baseline Transitional | N |
| 510k Exempt | N |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2002-10-21 |