SMARTMONITOR 2 W/O MODEM 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 2015-12-10 for SMARTMONITOR 2 W/O MODEM 4002 manufactured by Circadiance, Llc.

Event Text Entries

[33113655] Circadiance, (b)(4) received a customer complaint on (b)(6) 2015 where it was alleged that a smartmonitor 2 unit was not producing an audible alarm. The unit was sent back to circadiance, (b)(4). Upon inspection of the device, it was determined that the device was producing an audible alarm; however, the alarm sound was distorted. The customer stated that the device was in use at the time the problem was discovered and no patient or user harm was alleged or had occurred. The alarm module has been returned to the manufacturer for further investigation. Results of the investigation 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 2 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. The instructions and features notified the caregiver and subsequently returned the device for servicing.
Patient Sequence No: 1, Text Type: D, B5


[44727235] Circadiance, llc has completed its investigation of the smartmonitor 2 product failure detailed in the initial medwatch submission. The investigation concluded that the identified issue could not be substantiated by the components manufacturer. Testing of the component concluded that it was found to operate and perform to specification. No operational issues signifying a malfunction were recorded during the manufacturer's investigation. The operator's manual recommends that before you use the smart monitor 2, test to see if you can hear the alarm in different rooms while there is noise in your house. The operator's manual recommends to always keep the area in front of the speaker clear and to turn the monitor on (without the child attached) to sound the alarm, making sure you can hear the alarm in different areas of your home. Circadiance has determined that based on a complete review of the available information, it is concluded that use of the device does not present an increased risk to the end user or patient and that no corrective action or additional investigation activity is necessary at this time.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3006182632-2015-00004
MDR Report Key5284898
Report SourceUSER FACILITY
Date Received2015-12-10
Date of Report2015-11-13
Date of Event2015-11-06
Date Mfgr Received2015-11-13
Device Manufacturer Date2008-04-29
Date Added to Maude2015-12-10
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 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/O MODEM
Generic NameAPNEA MONITOR
Product CodeFLS
Date Received2015-12-10
Returned To Mfg2015-11-13
Model Number4002
Catalog Number4002
OperatorLAY USER/PATIENT
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 2015-12-10

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