26" SURGICAL MONITOR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-04-14 for 26" SURGICAL MONITOR manufactured by Steris Corporation - Vts Medical Systems.

Event Text Entries

[73039250] User facility personnel unplugged the surgical monitor; no injuries were reported. The patient was transferred to a different room and the procedure was completed successfully. A steris service technician arrived on site and replaced the surgical monitor. No issues have been reported with the replacement monitor. Steris service personnel inspected the surgical monitor and identified an electrical short condition in the driver board which caused the reported smoke. A review of service records and complaints related to the 26" surgical monitor indicate that this was an isolated incident. No additional issues have been reported.
Patient Sequence No: 1, Text Type: N, H10


[73039251] The user facility reported that smoke was emitting from their 26" surgical monitor.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1000404456-2017-00001
MDR Report Key6493117
Date Received2017-04-14
Date of Report2017-04-14
Date of Event2017-03-16
Date Mfgr Received2017-03-16
Date Added to Maude2017-04-14
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 G1STERIS CORPORATION - VTS 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 Name26" SURGICAL MONITOR
Generic NameSURGICAL MONITOR
Product CodeKQM
Date Received2017-04-14
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTERIS CORPORATION - VTS MEDICAL SYSTEMS
Manufacturer Address40 MELVILLE PARK RD MELVILLE NY 11747 US 11747


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-14

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