VIVIDIMAGE 26" SURGICAL GRADE MONITOR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-02-24 for VIVIDIMAGE 26" SURGICAL GRADE MONITOR manufactured by Vts Medical Systems.

Event Text Entries

[39457223] The surgical monitor was replaced and the equipment was returned to service. The surgical monitor is under steris warranty. Investigation of this event is currently in process. A follow-up report will be submitted when additional information becomes available.
Patient Sequence No: 1, Text Type: N, H10


[39457224] The user facility reported that their surgical monitor is not operating properly. No procedural delays or cancellations were reported.
Patient Sequence No: 1, Text Type: D, B5


[44788024] Steris made multiple attempts to obtain additional event information however, the user facility has not responded.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1000404456-2016-00002
MDR Report Key5458561
Date Received2016-02-24
Date of Report2016-02-24
Date of Event2016-01-25
Date Mfgr Received2016-01-25
Date Added to Maude2016-02-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactMS. KATHRYN CADORETTE
Manufacturer Street5960 HEISLEY ROAD
Manufacturer CityMENTOR OH 44060
Manufacturer CountryUS
Manufacturer Postal44060
Manufacturer Phone4403927231
Manufacturer G1VTS MEDICAL SYSTEMS
Manufacturer Street40 MELVILLE PARK RD
Manufacturer CityMELVILLE NY 11747
Manufacturer CountryUS
Manufacturer Postal Code11747
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVIVIDIMAGE 26" SURGICAL GRADE MONITOR
Generic NameSURGICAL MONITOR
Product CodeKQM
Date Received2016-02-24
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerVTS MEDICAL SYSTEMS
Manufacturer Address40 MELVILLE PARK RD MELVILLE NY 11747 US 11747


Patients

Patient NumberTreatmentOutcomeDate
10 2016-02-24

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