SMARTMONITOR 2 W/ MODEM 4003

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2015-12-03 for SMARTMONITOR 2 W/ MODEM 4003 manufactured by Circadiance, Llc.

Event Text Entries

[32577711] A durable medical equipment (dme) supplier contacted the manufacturer reporting an alleged event in which a caregiver reported the "apnea alarm didn't sound/light up during an apparent life threatening event. " the caregiver reported taking the infant to the hospital. The dme stated the incident occurred "close to when the monitor was last used". The specific date and time of the event is unknown. The manufacturer received the apnea monitor for evaluation and determined the device did not malfunction. The allegation that the monitor did not alarm could not be confirmed. The apnea monitor was visually examined and tested by the manufacturer using a simulator in accordance with released service procedures. The testing process used in service is the same test sequence used during the manufacturing process for new monitors. The apnea monitor detected and alarmed appropriately for all simulated events generated during the service test sequence. During the repair evaluation, it was discovered the unit needed a new modem pca; however, all conditions for alarms were verified to perform to specifications. The modem pca has no impact on the monitoring capability of the smartmonitor 2 and is only used for remote access to the monitor via an analog phone line. The smartmonitor 2 device is not intended to prevent loss of breathing or heart activity. The smartmonitor 2 parents' guide (pn 572-4000-00) states: "the smartmonitor 2 is a monitoring device only. It does not prevent the loss of breathing or heart activity, nor will it restore breathing or heart activity. It will not prevent death. Anyone using the smartmonitor 2 to monitor an infant should be trained in current infant cardiopulmonary resuscitation (cpr), which is a proper way to restore breathing and heart activity. " the smartmonitor 2 parents' guide (pn 572-4000-00) further states in the warnings and cautions: "smartmonitor 2 may not be able to detect all episodes of inadequate breathing. If a baby has apnea due to choking (obstructive apnea), the monitor could mistake movement caused by choking for breathing. " there was no report of death or serious injury, and the manufacturer was not able to confirm the allegation of alarm failure during a patient event. Besides normal servicing, the monitor passed all required testing and detected and alarmed appropriately for simulated events. Based on all available information, the manufacturer concludes that the device functioned to specification and that no further action is appropriate.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006182632-2015-00003
MDR Report Key5262952
Report SourceDISTRIBUTOR
Date Received2015-12-03
Date of Report2010-11-03
Date of Event2015-10-01
Date Mfgr Received2015-11-03
Device Manufacturer Date2004-06-11
Date Added to Maude2015-12-03
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 FDA3
Event Location3
Manufacturer ContactMR. JAMES GIANOUTSOS
Manufacturer Street1060 CORPORATE LANE
Manufacturer CityEXPORT PA 15632
Manufacturer CountryUS
Manufacturer Postal15632
Manufacturer Phone7243879182
Manufacturer G1CIRCADIANCE, LLC
Manufacturer Street1060 CORPORATE LANE
Manufacturer CityEXPORT PA 15632
Manufacturer CountryUS
Manufacturer Postal Code15632
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSMARTMONITOR 2 W/ MODEM
Generic NameAPNEA MONITOR
Product CodeFLS
Date Received2015-12-03
Returned To Mfg2015-11-20
Model Number4003
Catalog Number4003
OperatorLAY USER/PATIENT
Device AvailabilityR
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
101. Hospitalization 2015-12-03

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