FDA Adverse Event Malfunction Summary report: N

SMARTMONITOR 2

MDR report key: 5532976 · Received March 29, 2016

Report

Report Number
3006182632-2016-00001
Event Type
Malfunction
Date Received
March 29, 2016
Report Date
March 4, 2016
Manufacturer
CIRCADIANCE, LLC.
Product Code
FLS
UDI-DI
B0364002
PMA / PMN Number
K011597
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE SMARTMONITOR 2 DEVICE HAS PROVISIONS TO ALLOW THE USER TO DETECT FAILURE OF THE AUDIBLE ALARM. SPECIFICALLY, THE USERS ARE INSTRUCTED THAT THE AUDIBLE ALARM WILL ANNUNCIATE EVERY TIME THAT THE MONITOR IS TURNED ON ALLOWING THE USER TO VERIFY ALARM FUNCTIONALITY PRIOR TO PLACING THE DEVICE INTO SERVICE. ADDITIONALLY, USERS ARE INSTRUCTED TO PERFORM A FULL DEVICE CHECKOUT BY FOLLOWING THE PUBLISHED SMARTMONITOR 2 CHECKOUT PROCEDURE BETWEEN USES ON DIFFERENT PATIENTS OR AT LEAST ANNUALLY IF THE MONITOR HAS NOT BEEN IN USE. THE STEPS OF THE CHECKOUT PROCEDURE FULLY VERIFY ALL OF THE ALARM FUNCTIONS OF THE SMARTMONITOR 2. THESE INSTRUCTIONS AND FEATURES MINIMIZE THE RISK THAT AN AUDIBLE ALARM FAILURE CAN RESULT IN PATIENT INJURY. THE USER OF THIS EQUIPMENT IS RESPONSIBLE FOR READING, UNDERSTANDING, AND FOLLOWING THE WARNING AND CAUTION STATEMENTS THROUGHOUT THE MANUAL. THE ALARM MODULE HAS BEEN RETURNED TO THE MANUFACTURER FOR FURTHER INVESTIGATION. RESULTS OF THE INVESTIGATION WILL BE PROVIDED IN A FOLLOW UP REPORT.

Additional Manufacturer Narrative · 1

CIRCADIANCE, LLC HAS COMPLETED ITS INVESTIGATION OF THE SMARTMONITOR 2 PRODUCT FAILURE DETAILED IN THE INITIAL MED WATCH SUBMISSION. THE INVESTIGATION CONCLUDED THAT THE IDENTIFIED ISSUE COULD NOT BE SUBSTANTIATED BY THE COMPONENTS MANUFACTURER. TESTING OF THE COMPONENT CONCLUDED THAT IT WAS FOUND TO OPERATE AND PERFORM TO SPECIFICATION. NO OPERATIONAL ISSUES SIGNIFYING A MALFUNCTION WERE RECORDED DURING THE MANUFACTURER'S INVESTIGATION. THE OPERATOR'S MANUAL RECOMMENDS THAT BEFORE YOU USE THE SMART MONITOR 2, TEST TO SEE IF YOU CAN HEAR THE ALARM IN DIFFERENT ROOMS WHILE THERE IS NOISE IN YOUR HOUSE. THE OPERATOR'S MANUAL RECOMMENDS TO ALWAYS KEEP THE AREA IN FRONT OF THE SPEAKER CLEAR AND TO TURN THE MONITOR ON (WITHOUT THE CHILD ATTACHED) TO SOUND THE ALARM, MAKING SURE YOU CAN HEAR THE ALARM IN DIFFERENT AREAS OF YOUR HOME. CIRCADIANCE HAS DETERMINED THAT BASED ON A COMPLETE REVIEW OF THE AVAILABLE INFORMATION, IT IS CONCLUDED THAT USE OF THE DEVICE DOES NOT PRESENT AN INCREASED RISK TO THE END USER OR PATIENT AND THAT NO CORRECTIVE ACTION OR ADDITIONAL INVESTIGATION ACTIVITY IS NECESSARY AT THIS TIME.

Description of Event or Problem · 1

CIRCADIANCE, LLC RECEIVED A CUSTOMER COMPLAINT ALLEGING THAT A SMARTMONITOR 2 UNIT WOULD NOT TURN ON. THE UNIT WAS SENT BACK TO CIRCADIANCE, LLC FOR EVALUATION. UPON INSPECTION OF THE DEVICE, THE CUSTOMER COMPLAINT OF THE DEVICE NOT TURNING ON WAS NOT CONFIRMED. DURING THE EVALUATION, IT WAS ALSO DETERMINED THAT THE DEVICE HAD A FAULTY ALARM MODULE. THE CUSTOMER STATED THAT THE DEVICE WAS IN USE AT THE TIME; HOWEVER, NO PATIENT OR USER HARM WAS ALLEGED OR HAD OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
187943 SMARTMONITOR 2 APNEA MONITOR FLS CIRCADIANCE, LLC. 4002 B0364002

Patients

Seq Age Sex Outcome Treatment
1