inforMED
MalfunctionFLS

SMART MONITOR 2

Received Aug 29, 2018 · Event occurred Aug 3, 2018

Report 3006182632-2018-00024 · MDR key 7826643

Device

Generic name

Infant Apnea Monitor

Manufacturer

Circadiance, Llc

Model number

4003

Catalog number

4003

Product problems

  • No Audible Alarm
  • No Audible Alarm

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

THE SMART MONITOR 2 DEVICES INCORPORATE A START UP SEQUENCE WHERE ALL AUDIBLE AND VISUAL ALARM INDICATORS ARE ACTIVATED TO ALLOW A USER TO VERIFY THAT ALL OF THESE ELEMENTS FUNCTION CORRECTLY EVERY TIME THE MONITOR IS TURNED ON TO BE PUT INTO SERVICE. THE DEVICE THAT IS THE SUBJECT OF THIS REPORT WAS NOT IN PATIENT USE WHEN THE AUDIBLE ALARM FAILURE WAS DETECTED SUGGESTING THAT THE START UP SEQUENCE DOES PROVIDE AN APPROPRIATE MEANS FOR THE USER TO DETERMINE WHETHER OR NOT THE MONITOR'S ALARM SYSTEMS ARE FUNCTIONING PROPERLY.

Description of Event or Problem

A USER FACILITY CONTACTED CIRCADIANCE ON (B)(6) 2018 AND REPORTED THAT THE AUDIBLE ALARM IN THE MONITOR WAS NOT FUNCTIONING. THE MONITOR WAS NOT BEING USED WITH A PATIENT WHEN THIS ISSUE WAS IDENTIFIED.

Additional Manufacturer Narrative

THE ALARM MODULE MANUFACTURER REVIEWED PRODUCTION RECORDS FOR THE LOT OF MODULES ASSOCIATED WITH THE FAILED ALARM BUZZER. ALL BUZZERS PASSED FACTORY TESTING AND NO OTHER FAILURES HAVE BEEN RECEIVED FROM THIS LOT. THE MANUFACTURER DETERMINED THAT THE APPROPRIATE CORRECTIVE ACTION FOR THIS ISSUE WAS TO RE-TRAIN THE OPERATOR AS THIS SOLDER JOINT IS A MANUAL OPERATION. BASED ON THE FACT THAT ONLY ONE BUZZER FROM THIS LOT HAS FAILED, NO FURTHER ACTION WILL BE TAKEN AT THIS TIME.

Remedial action

  • Repair