HARMONY IQ 2400 INTEGRATION SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-04-08 for HARMONY IQ 2400 INTEGRATION SYSTEM manufactured by Vts Medical Systems.

Event Text Entries

[42956600] A steris service technician inspected the integration system and found that the power connector to the internal hard drive had shorted. The technician replaced the integration system due to the damage. The integration system was placed into service and no additional issues have been reported.
Patient Sequence No: 1, Text Type: N, H10


[42956601] The user facility reported that smoke was emitting from their integration system. No report of injury however, a procedural delay was reported due to the reported event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1000404456-2016-00003
MDR Report Key5563976
Date Received2016-04-08
Date of Report2016-04-08
Date of Event2016-03-11
Date Mfgr Received2016-03-11
Date Added to Maude2016-04-08
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 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 Report0

Device Details

Brand NameHARMONY IQ 2400 INTEGRATION SYSTEM
Generic NameINTEGRATION SYSTEM
Product CodeKQM
Date Received2016-04-08
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerVTS MEDICAL SYSTEMS
Manufacturer Address40 MELVILLE PARK RD MELVILLE NY 11747 US 11747


Patients

Patient NumberTreatmentOutcomeDate
10 2016-04-08

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