CBL SPO2 SENSOR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-05-30 for CBL SPO2 SENSOR manufactured by Drager Medical.

Event Text Entries

[630562] Monitor indicated ok o2 saturation and pulse, even though probe was off of patient. This issue was reproduced in the biomed department -not on patient-. This was photographed and documented. Product defect was reported to manufacturer through quality department.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5002126
MDR Report Key859327
Date Received2007-05-30
Date of Report2007-05-30
Date of Event2007-03-22
Date Added to Maude2007-06-11
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameCBL SPO2 SENSOR
Generic NameSPO2 ADAPTOR
Product CodeCCL
Date Received2007-05-30
Returned To Mfg2007-04-22
Lot Number3368433-07
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key845192
ManufacturerDRAGER MEDICAL
Manufacturer Address3135 QUARRY RD. TELFORD PA 18969 US


Patients

Patient NumberTreatmentOutcomeDate
10 2007-05-30

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