STATIC AND DYNAMIC COMPLIANCE VMAX ENCORE 229E 777410-101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2017-09-25 for STATIC AND DYNAMIC COMPLIANCE VMAX ENCORE 229E 777410-101 manufactured by Vyaire Medical, Inc.

Event Text Entries

[87864200] (b)(4). Results of investigation: the device was evaluated by a vyaire medical engineer on-site. The engineer was able to duplicate the problem. The engineer identified the issue to the customer's process on using "patient demographic" function instead of the recommended work flow by using "find a patient" function. The issue was resolved by advising the customer on properly importing data from the microloop software to vmax software by using the "find a patient" function. A change to the software will be included in the next version to prevent the customer from using this process incorrectly.
Patient Sequence No: 1, Text Type: N, H10


[87864201] The customer reported while uploading data to the vmax software version 28-5b, data was populated erroneously to a patient's test results. The issue occurred during patient use but there was no report of patient impact associated with this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2021710-2017-06692
MDR Report Key6892686
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2017-09-25
Date of Report2017-09-25
Date of Event2017-08-28
Date Mfgr Received2017-08-30
Device Manufacturer Date2006-07-01
Date Added to Maude2017-09-25
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 ContactKRISTIN GRAF
Manufacturer Street22745 SAVI RANCH PARKWAY
Manufacturer CityYORBA LINDA CA 92887
Manufacturer CountryUS
Manufacturer Postal92887
Manufacturer G1VYAIRE MEDICAL, 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, PREDICATED VALUES, PULMONARY FUNCTION
Product CodeBTY
Date Received2017-09-25
Model NumberVMAX ENCORE 229E
Catalog Number777410-101
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerVYAIRE MEDICAL, INC
Manufacturer Address22745 SAVI RANCH PARKWAY YORBA LINDA CA 92887 US 92887


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-09-25

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