MAUDE MDR 9748328
- MDR report key
- 9748328
- Report number
- 2936999-2020-00158
- Event key
- 0
- Event type
- 3
- Date of event
- 2020-01-22
- Date received
- 2020-02-24
- Adverse event
- 3
- Product problem
- 3
- Patients in event
- 0
- Reporter occupation
- 3
- Health professional
- 3
- Initial report to FDA
- 3
- Event location
- 3
Manufacturer Contact
- Contact
- AVI KLUGER
- Address
- 5920 LONGBOW DRIVE BOULDER CO 80301 US
- Phone
- 303-303-3035
- Report source
- M
- Manufacturer link flag
- Y
Devices
| Seq | Brand | Generic | Manufacturer | Product code | Model | Catalog | Lot | PMA | 510(k) | Implant | Evaluated | Availability |
|---|
| 1 | NELLCOR | OXIMETER | MEDIANA CO. LTD. | DQA | PM1000N | PM1000N | | | | | N
| R |
Patients
| Sequence | Received | Treatment | Outcome |
|---|
| 1 | 2020-02-24 | 0 |
|
Event Narratives
N
Patient 1
IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
D
Patient 1
ACCORDING TO THE REPORTER, THE UNIT GAVE HIGH INTERNAL TEMPERATURE AND FAN ERROR. IT WAS REPORTED THAT THEY POWER CYCLED THE UNIT FOR TROUBLESHOOTING. OTHER EQUIPMENT WAS PLACED INTO SERVICE TO PROVIDE PATIENT MONITORING. THERE WAS NO PATIENT INVOLVEMENT.
Related GUDID Devices By Product Code
| Primary DI | Brand | Company | Product code | Published |
|---|
| 06946725549926 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725549933 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725549940 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550021 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550038 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550045 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550069 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550076 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550083 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550090 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550106 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550113 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550137 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550144 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550151 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550168 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550182 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550199 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550205 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550212 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550229 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550236 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550243 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550250 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550267 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550274 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550281 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550298 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550304 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
| 06946725550311 | APK | APK Technology Co.,Ltd. | DQA | 2026-03-19 |
Related PMN/PMA Records By Product Code
| Type | Submission | Product code | Device | Applicant | Decision date |
|---|
| 510(k) | K252655 | DQA | Pulse Oximeter (PO-A2AO, PO-A2AT, PO-A3AO, PO-H1AO, PO-B1AO, PO-C5AO, PO-C5AT, PO-C6AO, PO-C6AT) | Shenzhen Imdk Medical Technology Co., Ltd. | 2026-05-11 |
| 510(k) | K253887 | DQA | Nasal Alar SpO2 Sensor (989803205381); Nasal Alar SpO2 Sensor (989803205391); Nasal Alar Sp02 Sensor (989803205401) | Philips Medizin Systeme | 2026-05-01 |
| 510(k) | K260931 | DQA | Unimed Reusable Finger Clip SpO2 Sensors (U403-49R and U103-49R) | Unimed Medical Supplies, Inc. | 2026-04-14 |
| 510(k) | K252448 | DQA | AViTA Pulse Oximeter (SP61) | Avita Corporation | 2026-02-27 |
| 510(k) | K252805 | DQA | YUWELL® Finger Pulse Oximeter (YX105, YX106, YX110, YX310) | Jiangsu Yuyue Medical Equipment & Supply Co., Ltd. | 2026-02-17 |