FDA Adverse Event
Injury
Summary report: N
MAC
MDR report key: 10726400
·
Received October 23, 2020
Report
- Report Number
- 10726400
- Event Type
- Injury
- Date Received
- October 23, 2020
- Date of Event
- September 7, 2020
- Report Date
- October 14, 2020
- Manufacturer
- GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES, INC.
- Product Code
- DPS
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- PA
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
DURING RENAL REPLACEMENT THERAPY, ELECTROCARDIOGRAM (EKG) WAS ORDERED. WHEN PATIENT BARCODE WAS SCANNED WITH EKG MACHINE, BARCODE DID NOT READ PROPERLY. EKG WAS OBTAINED UNDER PREVIOUS PATIENT'S MEDICAL RECORD NUMBER SAVED IN EKG MACHINE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1195234 | MAC | ELECTROCARDIOGRAPH | DPS | GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Life Threatening |