WHOLE BODY PLETHYSMOGRAPH 6200

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-09-29 for WHOLE BODY PLETHYSMOGRAPH 6200 manufactured by Sensormedics Corp..

Event Text Entries

[8315] Equipment installed 4/2/93. On 6/29/93 the system started intermittent lock-ups during pt testing. Tests involved: vtg, raw. Pt data lost. System would not respond to warm re-booting. Service visit. On 7/6/93: system lock-up during pt testing. Service visit. On 12/7/93: unit will not calibrate. Service call. On 12/14/93: system lock-up raw. On 12/17/93: system lock-up raw. Service visit. This information was submitted as follow-up 4/20/94: on 2/8/94: system lock-up during compliance study demonstration by co clinical specialist. On 2/9/94: service visit. On 3/2/94: system lock-up during raw. Company called; no action taken. On 3/21/94: system lock-up during raw. No flow volume loops printed on pt reports. Disappearance of data from hard drive. On 3/23/94: system removed from pt testing. On 3/24/94: service visit. Action was to recommend "additional training" three technologists as a solution for the system lock-ups. Question: does this "additional training" imply incompetence on the part of the three technologists (including the report filer), such that the med-watch was filed by a person deemed incompetent at the time of filing. " this info was submitted as follow up 9/29/94: 6/30/94: service visit for other equipment failure. Incidental software upgrade by service tech on plethysmograph. Plethysmograph remains closed to pt testing. 7/9/94: complete test performed with lab technologist as subject without incident. Raw repeated: remove button pressed and held to collect raw loops. Shutter closed immediately and stayed closed, cutting off air to the subject. Button released; subject could not breathe. Unit not shift into vtg mode (as setup in protocol screen). Video screen froze in raw mode. This is the first time this equipment failed with a laboratory technologist as the subject. Previous attempts to replicate these failure were unsuccessful. On 7/15/94 company called. Plethysmograph remains closed to pt testing.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1000412
MDR Report Key10968
Date Received1994-01-18
Date of Report1993-12-22
Date of Event1993-06-29
Date Added to Maude1994-01-21
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRESPIRATORY THERAPIST
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameWHOLE BODY PLETHYSMOGRAPH
Product CodeCCM
Date Received1994-09-29
Model Number6200
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key10968
ManufacturerSENSORMEDICS CORP.
Manufacturer AddressYORBA LINDA CA 92687 US


Patients

Patient NumberTreatmentOutcomeDate
10 1994-01-18

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