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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Masimo - 15750 Alton Pkwy Radical-7; Oximeter

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Masimo - 15750 Alton Pkwy Radical-7; Oximeter Back to Search Results
Model Number 9500
Medical Device Problem Codes Device Alarm System (1012); Unexpected Shutdown (4019)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/26/2026
Type of Reportable Event Malfunction
Event or Problem Description
The customer reported that "after power on the device turn off by itself with no alarm or error message".There was no patient impact or consequence reported.
 
Additional Manufacturer Narrative
Other, other text: the device has not been returned to the investigation facility to allow for an analysis to be performed. if the device is received for evaluation or new information is obtained, a follow up report will be submitted.Health effect impact code: no adverse event; no patient impact.
 
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Brand Name
Radical-7
Common Device Name
Oximeter
Manufacturer (Section D)
Masimo - 15750 Alton Pkwy
15750 alton pkwy
irvine CA 92618
Manufacturer (Section G)
Masimo - Mexicali
industrial vallera de mexicali calzada del oro, no.2001
mexicali, baja california 21600
MX   21600
Manufacturer Contact
lusine boyadzhyan
15750 alton pkwy
irvine, CA 92618
+1(949)297-7167
MDR Report Key50927223
Report Number3019388613-2026-00704
Device Sequence Number13183812
Product Code DQA
UDI-Device Identifier00843997008358
UDI-Public(01)00843997008358(11)240523
Combination Product (Y/N)N
Initial Reporter CountrySA
PMA/510(K) Number
K212161
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility
Initial Reporter Occupation Biomedical Engineer
Remedial Action Other
Type of Report Initial
Report Date (Section B) 09/03/2026
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
Operator of Device Health Professional
Device Model Number9500
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/03/2026
Initial Report FDA Received Date09/29/2026
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Date Device Manufactured05/23/2024
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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