SEDLINE 9513

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2017-02-23 for SEDLINE 9513 manufactured by Masimo - 40 Parker.

Event Text Entries

[68132786] Attempts have been made to obtain the product. The product has not been returned to masimo to allow an analysis to be performed. If the product is returned for evaluation or new information is obtained, a follow up report will be submitted.
Patient Sequence No: 1, Text Type: N, H10


[68132787] It was reported that the doctor traditionally uses the emg as a logarithmic scale on the bis. Meaning that when the emg (without the interference of diathermia) is above 30%, it is an indication of a pain noxious stimuli. Thereby, he would treat the patient with analgesia rather than sedation. However, with the sedline emg, the doctor noticed when using it on a lap chol without the use of a spinal or a block, the sedline emg remained at 0% throughout the case. Whereas the bis was indicating that the patient had noxious stimuli, which the doctor felt fitted to the clinical situation. He has seen this situation during several other cases.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2031172-2017-00240
MDR Report Key6352668
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2017-02-23
Date of Event2017-01-29
Date Mfgr Received2017-08-08
Date Added to Maude2017-02-23
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSTEFAN LISSMANN
Manufacturer Street52 DISCOVERY
Manufacturer CityIRVINE CA 926181604
Manufacturer CountryUS
Manufacturer Postal926181604
Manufacturer Phone9492977000
Manufacturer G1INDUSTRIAL VALLERA DE MEXICALI S.A DE C.V.
Manufacturer StreetCALZADA DEL ORO, NO. 2001 PARQUE INDUSTRIAL PALACO
Manufacturer CityMEXICALI, BAJA CALIFORNIA 21600
Manufacturer CountryMX
Manufacturer Postal Code21600
Single Use3
Remedial ActionOT
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSEDLINE
Generic NameOXIMETER
Product CodeGWQ
Date Received2017-02-23
Returned To Mfg2017-03-27
Model Number9513
Catalog Number9513
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMASIMO - 40 PARKER
Manufacturer Address40 PARKER IRVINE CA 926181604 US 926181604


Patients

Patient NumberTreatmentOutcomeDate
10 2017-02-23

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