AMI PLUS MONITOR 9700B

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2012-03-07 for AMI PLUS MONITOR 9700B manufactured by Cas Medical Systems, Inc..

Event Text Entries

[21986540] As reported by the home care dealer, the device, used for apnea monitoring, was alleged to not be alarming when the mother looked in on the baby and observed the baby to have a blue coloration. The mom then startled the baby. It was not stated if the mom's reaction caused a restart of the baby's breathing. No trip to the hosp was necessary. The report states that the monitor had alarmed for apnea two previous times. The distributor reports that the monitors led's indicated that the monitor was counting heart rate and respiration.
Patient Sequence No: 1, Text Type: D, B5


[22198937] Cas intends to test / run this device over an extended period, which as of today, is just 6 days of testing. The monitor after 2 days is operating and responding correctly. Testing will continue with negative results not expected.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2244861-2012-00001
MDR Report Key2489370
Report Source08
Date Received2012-03-07
Date of Report2012-03-07
Date of Event2012-02-08
Date Mfgr Received2012-03-01
Date Added to Maude2012-08-28
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street44 EAST INDUSTRIAL RD.
Manufacturer CityBRANFORD CT 06405
Manufacturer CountryUS
Manufacturer Postal06405
Manufacturer Phone2034886056
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAMI PLUS MONITOR
Generic NameBREATHING FREQUENCY MONITOR, APNEA MONITOR
Product CodeBZQ
Date Received2012-03-07
Returned To Mfg2012-03-05
Model Number9700B
ID NumberRMA 20247
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCAS MEDICAL SYSTEMS, INC.
Manufacturer AddressBRANFORD CT US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2012-03-07

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