NELLCOR *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-01-24 for NELLCOR * manufactured by Tyco Healthcare.

Event Text Entries

[403799] Problem involves 2 nellcor oximax infant oxygen sensors that have been reprocessed by vanguard medical concepts. Rn reports on at least two different occasions the wires have become exposed next to the bandaid portion that wraps around the infant's big toe. No injury to the pts at this time. Both products removed from service immediately when the frayed wires were noted.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1037816
MDR Report Key678080
Date Received2006-01-24
Date of Report2006-01-24
Date of Event2006-01-23
Date Added to Maude2006-02-24
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameNELLCOR
Generic NameOXIMAX INFANT OXYGEN SENSOR
Product CodeCCL
Date Received2006-01-24
Model Number*
Catalog Number*
Lot NumberUNK
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key667351
ManufacturerTYCO HEALTHCARE
Manufacturer Address4280 HACIENDA DR PLEASANTON CA 94588 US


Patients

Patient NumberTreatmentOutcomeDate
10 2006-01-24

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