SMARTMONITOR 2 4002

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2015-08-11 for SMARTMONITOR 2 4002 manufactured by Circadiance Llc.

Event Text Entries

[23938734] The alarm module has been returned to the manufacturer for analysis. Results of that analysis will be provided in a follow up report. The smartmonitor 2 device has provisions to allow the user to detect failure of the audible alarm. Specifically the users are instructed that the audible alarm will annunciate every time that the monitor is turned on allowing the user to verify alarm functionality prior to placing the device into service. Additionally, users are instructed to perform a full device checkout by following the published smartmonitor checkout procedure between uses on different patients or at least annually if the monitor has not been in use. The steps of the checkout procedure fully verify all of the alarm functions of the smartmonitor 2. These instructions and features minimize the risk that an audible alarm failure can result in patient injury.
Patient Sequence No: 1, Text Type: N, H10


[23938735] Circadiance, llc received a customer complaint on (b)(6) 2915 where it was alleged that a smartmonitor 2 unit was not producing an audile alarming. The unit was sent back to circadiance. Upon inspection of the device, it was determined that the device was not producing an audible alarm. A circadiance representative contacted the customer to get additional details. The customer did not know if the device was in use at the time the problem was discovered and no patient harm was alleged.
Patient Sequence No: 1, Text Type: D, B5


[42292146] Circadiance, llc has completed its investigation of the smartmonitor 2 device. The investigation concluded that the identified issue was associated with a quality manufacturing issue previously identified by the supplier of the component. The supplier had implemented a corrective action associated with this failure and determined that the corrective action was effective. The failure of the device had been previously identified in the product's risk analysis and product labeling. An evaluation of the risk associated with the identified failure has determined that there is no new or increased risk to the patient or user and that no additional risk reduction is necessary. Based on a complete review of the complaint allegation and the supplier's corrective action, it has been concluded that the identified failure is not considered to be a systemic issue and that the associated risk has been found to be acceptable. Complaint tracking and trending will continue to be monitored on a periodic basis. Circadiance, llc has determined that no further investigation or action is required at this time.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3006182632-2015-00001
MDR Report Key5018686
Report SourceUSER FACILITY
Date Received2015-08-11
Date of Report2015-08-11
Date of Event2015-06-29
Date Mfgr Received2015-07-15
Device Manufacturer Date2008-04-01
Date Added to Maude2015-08-20
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 FDA3
Event Location3
Manufacturer ContactMR. JAMES GIANOUTSOS
Manufacturer Street1300 RODI ROAD
Manufacturer CityTURTLE CREEK PA 15145
Manufacturer CountryUS
Manufacturer Postal15145
Manufacturer Phone7243879182
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSMARTMONITOR 2
Generic NameAPNEA MONITOR
Product CodeFLS
Date Received2015-08-11
Returned To Mfg2015-07-20
Model Number4002
Catalog Number4002
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCIRCADIANCE LLC
Manufacturer Address1060 CORPORATE LANE EXPORT PA 15632 US 15632


Patients

Patient NumberTreatmentOutcomeDate
10 2015-08-11

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