MAUDE MDR 6028465

MDR report key
6028465
Report number
2021710-2016-04638
Event key
0
Event type
3
Date of event
2016-09-20
Date received
2016-10-13
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
114
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
D
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1NOX T3, NOXTURNALVENTILATORY EFFORT RECORDERNOX MEDICALMNRT3 SLEEP MONITOR22857-001N Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12016-10-1301. O

Event Narratives#

N

Patient 1

(B)(4). (B)(4) IS THE IMPORTER OF RECORD FOR THIS DEVICE. THE LEGAL MANUFACTURER (NOX MEDICAL) HAS BEEN NOTIFIED OF THE REPORTED EVENT. ANY FURTHER REPORTS WILL COME FROM THE LEGAL MANUFACTURER.

D

Patient 1

THE CUSTOMER REPORTED THAT WHILE THEIR PATIENT WAS WEARING THE T3 NONIN 3150 PULSE OXIMETER THE PATIENT REPORTED A BUMP AND BURN ON THEIR LEFT FINGER. THE PATIENT HAS NOT BEEN SEEN BY ANY MEDICAL PROFESSIONAL ABOUT THE BURN TO DATE. THE CUSTOMER BELIEVES THAT THEIR PATIENT'S ISSUE WAS DUE TO THE RED LIGHT IN THE FINGER PROBE. THE DEVICE WAS RETURNED TO THE CUSTOMER BY THE PATIENT.