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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MASIMO - 52 DISCOVERY TIR-1 THERMOMETER; THERMOMETER, ELECTRONIC, CLINICAL

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MASIMO - 52 DISCOVERY TIR-1 THERMOMETER; THERMOMETER, ELECTRONIC, CLINICAL Back to Search Results
Model Number 38581
Device Problem Low Readings (2460)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 02/02/2021
Event Type  malfunction  
Manufacturer Narrative
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.
 
Event Description
The customer reported the device is providing lower than expected readings.No patient impact or consequences were reported.
 
Event Description
The customer reported the device is providing lower than expected readings.No patient impact or consequences were reported.
 
Manufacturer Narrative
Additional manufacturing narrative: other, other text: the returned device was evaluated.The unit powered on and off using battery power.The device is unable to obtain any measurement and watchdog alarm "lo" is shown on the display when trying to obtain measurement.Since the unit is unable to obtain measurements, temperature accuracy testing couldn't be performed.The watchdog alarm "lo" was narrowed down to the contamination damages on the lens of the emitter.Attempted to clean the lens but the issue persisted.A service history record review reveals that this unit was in the field for over eight (8) months with no previous reported issues related to this reported event.
 
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Brand Name
TIR-1 THERMOMETER
Type of Device
THERMOMETER, ELECTRONIC, CLINICAL
Manufacturer (Section D)
MASIMO - 52 DISCOVERY
52 discovery
irvine CA 92618
MDR Report Key11378837
MDR Text Key233555460
Report Number3011353843-2021-00046
Device Sequence Number1
Product Code FLL
Combination Product (y/n)N
PMA/PMN Number
K131771
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,u
Remedial Action Other
Type of Report Initial,Followup
Report Date 02/03/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number38581
Device Catalogue Number4301
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/23/2021
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 02/03/2021
Initial Date FDA Received02/25/2021
Supplement Dates Manufacturer Received05/10/2021
Supplement Dates FDA Received05/21/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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