HARMONY IQ 3600 INTEGRATION SYSTEM

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 2014-06-12 for HARMONY IQ 3600 INTEGRATION SYSTEM manufactured by Vts Medical Systems, Llc.

Event Text Entries

[4457695] The user facility reported that vitals are not displaying on touch panel.
Patient Sequence No: 1, Text Type: D, B5


[11971713] The investigation of this event is currently in process. A follow-up report will be submitted when additional information becomes available.
Patient Sequence No: 1, Text Type: N, H10


[30057200] A steris service technician was in the room at the time of the event. The technician inspected the unit and determined the vga cord required replacement due to a bent pin. The technician replaced the cord and restarted the machine. The technician confirmed the unit was operating to specification. No additional issues have been reported by the facility pertaining to this unit. The unit was installed in november 2013, and is currently under warranty.
Patient Sequence No: 1, Text Type: N, H10


[30057201] No injuries, or procedure delays or cancellations were reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1000404456-2014-00002
MDR Report Key3869713
Report Source05
Date Received2014-06-12
Date of Report2014-06-12
Date of Event2014-05-13
Date Mfgr Received2014-05-13
Date Added to Maude2014-07-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS. KATHRYN CADORETTE
Manufacturer Street5960 HEISLEY ROAD
Manufacturer CityMENTOR OH 44060
Manufacturer CountryUS
Manufacturer Postal44060
Manufacturer Phone4403927231
Manufacturer G1VTS MEDICAL SYSTEMS
Manufacturer Street40 MELVILLE PARK ROAD
Manufacturer CityMELVILLE NY 44060
Manufacturer CountryUS
Manufacturer Postal Code44060
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHARMONY IQ 3600 INTEGRATION SYSTEM
Generic NameHARMONY IQ
Product CodeLMD
Date Received2014-06-12
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerVTS MEDICAL SYSTEMS, LLC
Manufacturer Address40 MELVILLE PARK RD MELVILLE NY 11747 US 11747


Patients

Patient NumberTreatmentOutcomeDate
10 2014-06-12

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