SMARTMONITOR 2 PROFESSIONAL SERIES MONITOR 1030271

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2013-08-29 for SMARTMONITOR 2 PROFESSIONAL SERIES MONITOR 1030271 manufactured by Philips Respironics - Chmv.

Event Text Entries

[3739485] Children's medical ventures (chmv) received a report from a durable medical equipment (dme) associated with the smartmonitor 2 ps (professional series) device. The report stated that there was a long delay between patient event and the device alarming for the patient event. The smartmonitor device was reportedly in use at the time of the reported issue. No patient harm has been reported. The dme was contacted for a follow-up conversation. However, the dme was unable to provide the data download or the prescribed settings of the device in question but stated that the delay was longer than 5 seconds.
Patient Sequence No: 1, Text Type: D, B5


[11288434] (b)(4). The complaint issue alleged by the customer was not able to be confirmed because the device was not returned to the manufacturer for evaluation. The dme stated that it could not confirm whether or not the device had been sent in for evaluation. The smartmonitor2 ps and smartmonitor2 psl are intended for use in the continuous monitoring of respiration, heart rate, and spo2 levels (smartmonitor2 ps only) of infant, pediatric, and adult patients. The device detects and alarms for periods of high or low heart rate, high or low breath rate, and high or low saturation (smartmonitor2 ps only). When used as an infant monitor, it is intended for use in a home or hospital environment. For infants only, it monitors and alarms for central apneas. When used as a pediatric or adult monitor, it is intended for use in a hospital environment. Patient alarm limits are set by the health care professional before the smartmonitor 2 ps is delivered to the patient and are typically set up with prescribed settings which include a delay before recording apneas and a delay before annunciating an alarm for an apnea condition. The user of this equipment is responsible for reading, understanding, and following the warning and caution statements throughout this manual. Based on a complete review of the complaint allegation, chmv has no reason to believe the device in question did not perform to specification; effectively notifying the caregiver of a potential event. It is determined that no further investigation into the alleged complaint issue is appropriate at this time. However, if the device is returned for investigation and it is concluded that a malfunction took place, a follow-up, additional information report will be filed.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3007056120-2013-00012
MDR Report Key3358266
Report Source05
Date Received2013-08-29
Date of Report2013-07-03
Date Mfgr Received2013-07-30
Device Manufacturer Date2009-07-01
Date Added to Maude2013-12-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactCHRIS FERGUSON
Manufacturer Street191 WYNGATE DR
Manufacturer CityMONROEVILLE PA 15146
Manufacturer CountryUS
Manufacturer Postal15146
Manufacturer Phone4123808804
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSMARTMONITOR 2 PROFESSIONAL SERIES MONITOR
Generic NameAPNEA MONITOR
Product CodeFLS
Date Received2013-08-29
Model Number1030271
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerPHILIPS RESPIRONICS - CHMV
Manufacturer Address191 WYNGATE DR MONROEVILLE PA 15146 US 15146


Patients

Patient NumberTreatmentOutcomeDate
10 2013-08-29

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