OXYGEN SENSOR 10097559

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-04-06 for OXYGEN SENSOR 10097559 manufactured by Covidien.

Event Text Entries

[72127832]
Patient Sequence No: 1, Text Type: N, H10


[72127833] It was reported that the voltage on oxygen (o2) sensor fluctuates. The device was not in use on a patient at the time the malfunction occurred. The service engineer (se) verified the malfunction and replaced the o2 sensor. The unit passed all testing and operates within the manufacturing specifications.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8020893-2017-05574
MDR Report Key6463230
Date Received2017-04-06
Date of Report2017-03-12
Date of Event2017-03-12
Date Mfgr Received2017-03-12
Date Added to Maude2017-04-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactRAY MAROOFIAN
Manufacturer Street2101 FARADAY AVE.
Manufacturer CityCARLSBAD CA 92008
Manufacturer CountryUS
Manufacturer Postal92008
Manufacturer Phone7606035334
Manufacturer G1COVIDIEN
Manufacturer StreetMICHEAL COLLINS RD MERVUE
Manufacturer CityGALWAY
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameOXYGEN SENSOR
Generic NameANALYZER, GAS, OXYGEN, GASEOUS-PHASE
Product CodeCCL
Date Received2017-04-06
Model NumberOXYGEN SENSOR
Catalog Number10097559
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN
Manufacturer AddressMICHEAL COLLINS RD MERVUE GALWAY


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-06

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