STATIC AND DYNAMIC COMPLIANCE 229 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 2016-02-10 for STATIC AND DYNAMIC COMPLIANCE 229 E 777410-101 manufactured by Carefusion.

Event Text Entries

[38536140] This mdr is being submitted in response to a two year retrospective complaint review that was performed by carefusion to identify mdrs following the issuance of a 483. The (b)(4). The malfunctioning computer was retired from service and the user facility information technology specialist will remove the old hard drive to destroy it and then the computer will be discarded under the user facility's supervision. The customer purchased an upgraded computer and it has been installed and is functioning as intended per the operator's manual. If additional information becomes available a follow up will be submitted. Carefusion continues to track and trend any incident related to this issue. (b)(4)
Patient Sequence No: 1, Text Type: N, H10


[38536141] The customer reported a smell which he describes as hot like something within the computer is melting. Also, the display has become pixilated and the software is not responding appropriately during both functional residual capacity (frc) testing and lung diffusion capacity (dlco) testing. When the system is on for a length of time the odor is more noticeable and the staff noted that the room is hazy. Carefusion technical support technician recommended to turn off the computer immediately and unplug it from it's power source as it could pose a fire risk. The customer reported an irritation to the eyes while in the room but no medical attention was sought. The device will not be returning to carefusion for an evaluation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2021710-2016-03150
MDR Report Key5429144
Date Received2016-02-10
Date of Report2014-09-22
Date of Event2014-09-22
Date Mfgr Received2014-09-22
Date Added to Maude2016-02-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter 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 NameSTATIC AND DYNAMIC COMPLIANCE
Generic NameCALCULATOR, PREDICTED VALUES, PULMONARY FUNCTION
Product CodeBTY
Date Received2016-02-10
Model Number229 E
Catalog Number777410-101
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION
Manufacturer Address22745 SAVI RANCH PARKWAY YORBA LINDA CA 92887 US 92887


Patients

Patient NumberTreatmentOutcomeDate
10 2016-02-10

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