STATIC AND DYNAMIC COMPLIANCE VMAX ENCORE 229 777400-101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-07-07 for STATIC AND DYNAMIC COMPLIANCE VMAX ENCORE 229 777400-101 manufactured by Carefusion, Inc.

Event Text Entries

[49021445] (b)(4). At this time, carefusion has not received the suspect device/component for evaluation but a carefusion field service engineer (fse) has been dispatched to perform an onsite evaluation. Upon completion of a final evaluation, a supplemental report will be submitted.
Patient Sequence No: 1, Text Type: N, H10


[49021446] The customer reported while using the static and dynamic compliance; the treadmill stops within different protocols without warning. The issue occurred during patient use; the customer reported no patient injury associated with this event.
Patient Sequence No: 1, Text Type: D, B5


[51144933] The carefusion field service engineer (fse) on site performed testing and confirmed the reported issue. The fse re-installed the cardiosoft v6. 51 software and the customer performed calibration. The unit is meeting carefusion specifications. Due to the event being resolved by re-installing the software; no parts will be sent back to carefusion.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2021710-2016-04029
MDR Report Key5777562
Date Received2016-07-07
Date of Report2016-06-16
Date of Event2016-06-16
Date Mfgr Received2016-07-09
Device Manufacturer Date2011-01-01
Date Added to Maude2016-07-07
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 ContactJILL RITTORNO
Manufacturer Street22745 SAVI RANCH PARKWAY
Manufacturer CityYORBA LINDA CA 92887
Manufacturer CountryUS
Manufacturer Postal92887
Manufacturer Phone7149227830
Manufacturer G1CAREFUSION, INC
Manufacturer Street1100 BIRD CENTER DR.
Manufacturer CityPALM SPRINGS CA 92262
Manufacturer CountryUS
Manufacturer Postal Code92262
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTATIC AND DYNAMIC COMPLIANCE
Generic NameCALCULATOR, PREDICTED VALUES, PULMONARY FUNCTION
Product CodeBTY
Date Received2016-07-07
Model NumberVMAX ENCORE 229
Catalog Number777400-101
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION, INC
Manufacturer Address22745 SAVI RANCH PARKWAY YORBA LINDA CA 92887 US 92887


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-07-07

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