Recipient

Masimo UK

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First report 11 Jun 2026•Latest report 11 Jun 2026

Recipient record

Reports, concerns and published responses

This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Reports over time

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

0%published responses found
0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Masimo UK linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Inner North London

    AI-generated summary

    Ismaeel ISLAM · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Ismaeel Islam died at the Royal London Hospital after a cardiorespiratory arrest, with the stated medical causes including pulmonary and chronic lung complications, hypoxic-ischaemic encephalopathy, and trisomy 21 with congenital heart defects and lung growth disorder. Before the collapse, his desaturation and respiratory arrest were not recognised for approximately half an hour because the monitor alarm was not usefully audible and his cot was not within the caring nurse’s line of sight. The principal concern was whether monitor alarm volumes should be locked or set to maximum by default to improve patient safety.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Masimo UK; that does not assign responsibility.

    PFD Monitor interpretation

    Unavailability of monitor alarms with volume locked or set to maximum by default

    Wider context from the report

    “However, the trust told me that an approach has been made to you as manufacturer of the monitor alarms in question, to ask that the volume on these alarms be either locked or at least set to maximum as a default, but that you have not yet made a decision about this request. I write now to urge you to consider as soon as possible the issue of how you can maximise patient safety in this respect. ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

0%
0%All other recipients 58%
0%100%

How actions were described at the time

This respondent
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026