FDA Adverse Event Malfunction Summary report: N

CARESCAPE CENTRAL STATION

MDR report key: 11027135 · Received December 17, 2020

Report

Report Number
11027135
Event Type
Malfunction
Date Received
December 17, 2020
Date of Event
November 16, 2020
Report Date
December 9, 2020
Manufacturer
GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES, INC.
Product Code
DQK
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

STAFF REPORTED THAT THE CENTRAL STATION MADE A LOUD POPPING NOISE AND THEN THE SCREEN WENT BLACK. THIS RESULTED IN A LOSS OF CENTRALIZED PATIENT MONITORING. THE CENTRAL MONITOR WAS REPLACED AND UPON FURTHER INSPECTION, AN ISSUE WITH THE POWER SUPPLY WAS IDENTIFIED. THE MANUFACTURER RESPONDED TO THIS EVENT. GE FIELD ENGINEER HAS BEEN ON-SITE TO EVALUATE THE POWER SUPPLY AND BEGIN INVESTIGATION ON ROOT CAUSE. GE HAS PROVIDED INTERIM LOANER CENTRAL STATION UNTIL THE ISSUE IS RESOLVED AND HOSPITAL OWNED CENTRAL STATIONS ARE FIXED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1493652 CARESCAPE CENTRAL STATION COMPUTER, DIAGNOSTIC, PROGRAMMABLE DQK GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES, INC. V2 INTEGRATED MAI 700

Patients

Seq Age Sex Outcome Treatment
1