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Recall Observatory FDA recall evidence

Device product

Covidien Nellcor Bedside SpO2 Patient Monitoring System: REF: PM100N, 10005941, DLPM100N, DL10005941, DSPM100N, 10005941-SG, DS10005941, 10005941J, 10005941JP, 10005941JPN

Z-2151-2025

June 23, 2025

Class II

Product summary

Firm
Covidien
Event
Event 96862
Status
Ongoing
Classification
Class II
Quantity
264,790
Official record key
device-enforcement:Z-2151-2025

Official wording

Reason: Bedside SpO2 Patient Monitoring System alarms not heard/recognized, resulting in: treatment delay, lack of low oxygen saturation response, respiratory failure, arrhythmia. Highlighting operator's manual: 1)For patient Safety don't silence/decrease alarm volume, 2)Sensor off alarm (no perfusion detected) is low priority alarm, 3)Set monitors to Homecare Mode outside of hospital/professional setting

Code information: REF/UI-DI/Bundle Code/IFU Part Number: PM100N/10884521196728/NELL-HOMECARE, BNPULSOKSYMETR, PM100N, PM100NKIT, PM100NKITCHDE, PM100NKITCHFR, PM100NKITDA, PM100NKITDE-2, PM100NKITES, PM100NKITFI, PM100NKITFR, PM100NKIT-FR, PM100NKITIT, PM100NKIT-NL, PM100NKITNO, PM100NKITPT, PM100NKITSV, PM100NKITUK, PM100N-10, PM100N-2XMAXN, PM100N-2XMAXN-CC, PM100N-3DYS-CC, PM100N-DYS, PM100N-HC, PM100N-MAXN, PM100N-MAXN-CC, PM100N-OXIAN-CC/PT00156589 - AR - Arabic, PT00156609 - AR - Arabic, PT00156588 - BG - Bulgarian, PT00156610 - BG - Bulgarian, PT00156586 - CS - Czech, PT00156612 - CS - Czech, PT00156585 - DA - Danish, PT00156613 - DA - Danish, PT00156578 - DE - German, PT00156625 - DE - German, PT00156577 - EL - Greek, PT00156626 - EL - Greek, PT00156509 - EN - English, PT00156328 - EN - English, PT00156563 - ES - Spanish, PT00156639 - ES - Spanish, PT00156583 - ET - Estonian, PT00156615 - ET - Estonian, PT00156582 - FI - Finnish, PT00156616 - FI - Finnish, PT00156581 - FR - French, PT00156617 - FR - French, PT00156587 - HR - Croatian , PT00156611 - HR - Croatian , PT00156576 - HU - Hungarian, PT00156627 - HU - Hungarian, PT00156575 - IT - Italian, PT00156628 - IT - Italian, PT00156580 - KA - Georgian, PT00156618 - KA - Georgian, PT00156591 - KO - Korean, PT00156642 - KO - Korean, PT00156573 - LT - Lithuanian, PT00156630 - LT - Lithuanian, PT00156574 - LV - Latvian, PT00156629 - LV - Latvian, PT00156584 - NL - Dutch, PT00156614 - NL - Dutch, PT00156572 - NO - Norwegian, PT00156631 - NO - Norwegian, PT00156571 - PL - Polish, PT00156632 - PL - Polish, PT00156570 - PT-BR - Brazilian Portuguese, PT00156633 - PT-BR - Brazilian Portuguese, PT00156569 - RO - Romanian, PT00156634 - RO - Romanian, PT00156567 - RU - Russian, PT00156635 - RU - Russian, PT00156565 - SK - Slovak, PT00156637 - SK - Slovak, PT00156564 - SL - Slovenian, PT00156638 - SL - Slovenian, PT00156566 - SR - Serbian, PT00156636 - SR - Serbian, PT00156562 - SV Swedish, PT00156640 -SV - Swedish, PT00156561 - TR - Turkish, PT00156641 - TR - Turkish, PT00156590 - ZH - SimplifIed Chinese, PT00156643 - ZH - SimplifIed Chinese; 10005941/10884521163454/PM100N-10, PM100N-2XMAXN, PM100N-2XMAXN-CC, PM100N-3DYS-CC, PM100N-DYS, PM100N-HC, PM100N-MAXN, PM100N-MAXN-CC, PM100N-OXIAN-CC, BEDSIDESP2KIT2, NELLSPO2, PM100N-HC, NELL-HOMECARE, ROEBEDSIDEKIT, BEDSIDESP2PT2, BEDSIDESP2NO2, BEDSIDESP2PL2, BEDSIDESP2NL2, BEDSIDESP2KITNM, BEDSIDESP2K2UK, BEDSIDESP2K2IT, BEDSIDESP2K2FR, BEDSIDESP2K2-2, BEDSIDEKITISR/PT00156645 - AR - Arabic, PT00156647 - BG - Bulgarian, PT00156649 - CS - Czech, PT00156650 - DA - Danish, PT00156656 - DE - German, PT00156657 - EL - Greek, PT00156324 - EN - English, PT00156673 - ES - Spanish, PT00156652 - ET - Estonian, PT00156653 - FI - Finnish, PT00156654 - FR - French, PT00156648 - HR - Croatian, PT00156658 - HU - Hungarian, PT00156659 - IT - Italian, PT00156655 - KA - Georgian, PT00156677 - KO - Korean, PT00156661 - LT - Lithuanian, PT00156660 - LV - Latvian, PT00156651 - NL - Dutch, PT00156662 - NO - Norwegian, PT00156664 - PL - Polish, PT00156666 PT-BR - Brazilian Portuguese, PT00156667 - RO - Romanian, PT00156668 - RU - Russian, PT00156671 - SK - Slovak, PT00156672 - SL - Slovenian, PT00156669 - SR - Serbian, PT00156674 - SV - Swedish, PT00156675 - TR - Turkish, PT00156676 - ZH - Simplified Chinese, NELL-SPO2-AD3+ - Canadian, NELL-SPO2-AD3 - Canadian; 10005941/A8845211634501; DLPM100N/10884521527607; DL10005941/10884521173293; DSPM100N/DSPM100N; 10005941-SG/10884521171534/BNINHLLCODE, BNINNEL100A, BNINNEL100AS, BNINNEL100AVJ, BNINNEL100AYS, BNINNELDYS, BNHKLIBRANEOSET, BNHKLIBRASET; DS10005941/DS10005941; 10005941J/10005941JP; 10005941JP/884521512019; 10005941JPN/884521188689. All serial numbers

Distribution pattern: Worldwide - US Nationwide distribution including in the states of MS, TX, FL, SC, VA, AZ, PA, MN, OH, CA, MI, CO, KS, IN, IL, TN, MO, IA, OK, WI, AK, NY, MD, AL, WV, GA, NC, AR, WA, SD, KY, DE, NJ, UT, NV, MA, MT, GU, NE, LA, HI, OR, RI, NH, ND, NM, ME, CT, DC, WY and the countries of Algeria, Andorra, Argentina, Australia, Austria, Bahamas, Bahrain, Bangladesh, Belgium, Bermuda, Bhutan, Bolivia, Bosnia And Herzegovina, Botswana, Brazil, Brunei Darussalam, Bulgaria, Cambodia, Canada, Canary Islands, Chile, China, Colombia, Costa Rica, Croatia, Cyprus, Czech Republic, Denmark, Egypt, Estonia, Finland, France, French Guiana, Germany, Ghana, Greece, Guadeloupe, Guatemala, Hong Kong, Hungary, India, Indonesia, Iran, Islamic Republic Of, Ireland, Isle of Man, Israel, Italy, Japan, Jordan, Kazakhstan, Kenya, Kuwait, Lebanon, Libya, Lithuania, Macedonia, Malaysia, Maldives, Malta, Mauritius, Mexico, Montenegro, Morocco, Myanmar, Namibia, Netherlands, New Zealand, North Macedonia, Norway, Oman, Pakistan, Panama, Peru, Philippines, Poland, Portugal, Qatar, Reunion, Romania, Russia, Saudi Arabia, Serbia, Singapore, Slovakia, Slovenia, South Africa, South Korea, Spain, Sri Lanka, Sweden, Switzerland, Taiwan, Thailand, Tunisia, Turkey, Ukraine, United Arab Emirates, United Kingdom, Uruguay, Vietnam, Zimbabwe.

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    Bedside SpO2 Patient Monitoring System alarms not heard/recognized, resulting in: treatment delay, lack of low oxygen saturation response, respiratory failure, arrhythmia. Highlighting operator's manual: 1)For patient Safety don't silence/decrease alarm volume, 2)Sensor off alarm (no perfusion detected) is low priority alarm, 3)Set monitors to Homecare Mode outside of hospital/professional setting