VMAX229 SERIES PULMONARY/METABOLIC SYSTEMS 229C E 777410-101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-11-09 for VMAX229 SERIES PULMONARY/METABOLIC SYSTEMS 229C E 777410-101 manufactured by Carefusion.

Event Text Entries

[31016989] The carefusion file identification number is (b)(4). At this time the device is functioning as intended and is in normal operation. Carefusion continues to track and trend any incident related to this issue. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[31016990] It was reported by the customer that while doing a test the treadmill abruptly stopped. It went from a speed of 2 miles per hour and a grade of 10. 5 to zero. There was no patient harm or injury reported. A carefusion field service technician (fst) inspected the treadmill and all of its connections and ran a test protocol study without issue. All factors and settings were found to be within specifications. It was determined that there were network issues at the facility which caused the loss of communication between the device and the treadmill.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2021710-2015-02172
MDR Report Key5212810
Date Received2015-11-09
Date of Report2015-10-26
Date of Event2015-10-22
Date Mfgr Received2015-10-26
Device Manufacturer Date2009-09-01
Date Added to Maude2015-11-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRESPIRATORY THERAPIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJILL RITTORNO
Manufacturer Street75 NORTH FAIRWAY DRIVE
Manufacturer CityVERNON HILLS IL 60061
Manufacturer CountryUS
Manufacturer Postal60061
Manufacturer Phone8473628056
Manufacturer G1CAREFUSION
Manufacturer Street1100 BIRD CENTER DRIVE
Manufacturer CityPALM SPRINGS CA 92262
Manufacturer CountryUS
Manufacturer Postal Code92262
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameVMAX229 SERIES PULMONARY/METABOLIC SYSTEMS
Generic NameCALCULATOR, PREDICTED VALUES, PULMONARY FUNCTION
Product CodeBTY
Date Received2015-11-09
Model Number229C E
Catalog Number777410-101
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION
Manufacturer Address22745 SAVI RANCH PARKWAY YORBA LINDA CA 92887 US 92887


Patients

Patient NumberTreatmentOutcomeDate
10 2015-11-09

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