VIVIDIMAGE 27" HD 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 2018-09-06 for VIVIDIMAGE 27" HD SURGICAL MONITOR manufactured by Black Diamond Video.

Event Text Entries

[119935537] Following the reported event, the user facility's biomed service team inspected the surgical monitor. The service team observed fluid intrusion around the monitor's keypad membrane. Based on the description on the event, steris determined that the user facility is not following proper cleaning practices which allowed fluid intrusion to enter the keypad membrane and the reported event to occur. The user facility replaced the monitor's keypad membrane, tested the monitor, confirmed it to be operating according to specifications, and returned it to service. Steris provided in-service training to user facility personnel on proper cleaning practices. The user facility is responsible for all cleaning activities. No additional issues have been reported.
Patient Sequence No: 1, Text Type: N, H10


[119935538] The user facility reported that during the start of a patient procedure, their (b)(4) surgical monitor was not operating properly. A procedure delay occurred as user facility personnel replaced the monitor with a second monitor present in the room. No report of injury and the procedure was completed successfully.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008776287-2018-00006
MDR Report Key7851906
Date Received2018-09-06
Date of Report2018-09-06
Date of Event2018-07-26
Date Mfgr Received2018-08-07
Date Added to Maude2018-09-06
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 ContactMR. DANIEL DAVY
Manufacturer Street5960 HEISLEY ROAD
Manufacturer CityMENTOR OH 44060
Manufacturer CountryUS
Manufacturer Postal44060
Manufacturer Phone4403927453
Manufacturer G1BLACK DIAMOND VIDEO
Manufacturer Street503 CANAL BLVD.
Manufacturer CityRICHMOND CA 94804
Manufacturer CountryUS
Manufacturer Postal Code94804
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameVIVIDIMAGE 27" HD SURGICAL MONITOR
Generic NameSURGICAL MONITOR
Product CodeKQM
Date Received2018-09-06
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBLACK DIAMOND VIDEO
Manufacturer Address503 CANAL BLVD. RICHMOND CA 94804 US 94804


Patients

Patient NumberTreatmentOutcomeDate
10 2018-09-06

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