MAUDE MDR 4533038

MDR report key
4533038
Report number
2936999-2015-00159
Event key
0
Event type
3
Date of event
2015-01-21
Date received
2015-02-20
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
DENISE BRAXTON
Address
6135 GUNBARREL AVE BOULDER 80301 US
Phone
303-303-3038
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1DURA-Y SENSORD-YSCOVIDIENDPZD-YSD-YS140870181XHR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12015-02-200

Event Narratives#

D

Patient 1

COVIDIEN RECEIVED A REPORT THAT THE SENSOR READING WAS LOWER THAN WHAT THE PATIENT'S VITALS ACURATELLY WERE. CALLER STATED THERE WAS NO PATIENT HARM IN ASSOCIATION WITH THIS DEVICE.

N

Patient 1

(B)(4). CUSTOMER WAS PROVIDED ASSISTANCE TO TROUBLESHOOT FAILURE AND EVERYTHING IS READING AS EXPECTED. PER INFORMATION PROVIDED IN THE OXIMAX DURA-Y DIRECTIONS FOR USE IN REGARDS TO POSSIBLE CAUSES FOR INACCURATE READINGS: WARNINGS: 1) FAILURE TO APPLY THE DURA-Y SENSOR PROPERLY MAY CAUSE INCORRECT MEASUREMENTS. 3) USING THE DURA-Y SENSOR IN THE PRESENCE OF BRIGHT LIGHTS MAY RESULT IN INACCURATE MEASUREMENTS. IN SUCH CASES, COVER THE SENSOR WITH AN OPAQUE MATERIAL. 7) EXCESSIVE MOTION MAY COMPROMISE PERFORMANCE. IN SUCH CASES, TRY TO KEEP THE PATIENT STILL OR CHANGE THE SENSOR SITE TO ONE WITH LESS MOTION. 8) WHEN THE SENSOR IS WRAPPED TOO TIGHTLY OR SUPPLEMENTAL TAPE IS APPLIED, VENOUS PULSATIONS MAY LEAD TO INACCURATE SATURATION MEASUREMENTS. PER PEDICHECK D-YSPD PEDIATRIC SPOT-CHECK CLIP DIRECTIONS FOR USE: WARNINGS: 2) FAILURE TO APPLY THE PEDICHECK SPOT-CHECK CLIP PROPERLY MAY CAUSE INCORRECT MEASUREMENTS. 3) USE OF THE PEDICHECK CLIP WITHOUT THE ELASTIC SLEEVES IN PLACE MAY RESULT IN IMPROPER PLACEMENT WHICH CAN CAUSE INACCURATE MEASUREMENTS. 8) DO NOT ALTER OR MODIFY THE PEDICHECK CLIP OR ITS COMPONENTS. ALTERATIONS OR MODIFICATIONS MAY AFFECT PERFORMANCE OR ACCURACY.