FDA Adverse Event Malfunction Summary report: N

SMARTMONITOR 2 APNEA MONITOR

MDR report key: 1834106 · Received August 26, 2010

Report

Report Number
1834106
Event Type
Malfunction
Date Received
August 26, 2010
Date of Event
August 23, 2010
Report Date
August 26, 2010
Manufacturer
PHILIPS RESPIRONICS
Product Code
BZQ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MO, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

CHILD IN INFANT SEAT TURNED BLUE AND THE APNEA MONITOR DID NOT ALARM. WITNESSED BY PARENT, CHILD WAS REMOVED FROM SEAT AND COLOR IMPROVED AND CHILD WAS BREATHING WITH NORMAL RESPIRATIONS. THE MONITOR WAS RUNNING ON BATTERY POWER AT THE TIME. HOME HEALTH RESPIRATORY THERAPIST CAME TO THE HOME AFTER THE INCIDENT WAS REPORTED AND CHECKED THE MACHINE AND IT APPEARED TO BE WORKING. IT WAS REMOVED FROM THE HOME AND REPLACED WITH ANOTHER MACHINE. IT HAS BEEN SENT TO OUR CLINICAL ENGINEERING DEPARTMENT FOR EVALUATION.====================== HEALTH PROFESSIONAL'S IMPRESSION======================UNSURE, RESPIRATORY THERAPIST WAS CALLED TO THE HOME AFTER THE EVENT AND THE MONITOR APPEARED TO BE WORKING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SMARTMONITOR 2 APNEA MONITOR MONITOR, BREATHING FREQUENCY BZQ PHILIPS RESPIRONICS * *

Patients

Seq Age Sex Outcome Treatment
1 * NO OTHER THERAPIES