FDA Adverse Event Malfunction Summary report: N

S/5 ANESTHESIA MONITOR

MDR report key: 1358031 · Received March 3, 2009

Report

Report Number
9610105-2009-00008
Event Type
Malfunction
Date Received
March 3, 2009
Date of Event
February 9, 2009
Report Date
March 3, 2009
Manufacturer
GE HEALTHCARE FINLAND QY
Product Code
MHX
PMA / PMN Number
K051400
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PT'S WEIGHT ON PT DATA DEMOGRAPHIC WENT DOWN INCREMENTALLY TO (B) (6) LBS. THE EVENT IS RELATED TO AN ISSUE WHERE THE ANESTHESIA MACHINE OR VENTILATOR DOES NOT RECEIVE THE PT WEIGHT THAT IS CHANGED OR ENTERED IN THE PT MONITOR. THE ANESTHESIA MACHINE OR VENTILATOR SENDS ITS OWN PT WEIGHT TO THE PT MONITOR THAT OVERRIDES THE PT WEIGHT CHANGED OR ENTERED IN THE PT MONITOR, RESULTING IN WRONG PT WEIGHT AND CALCULATED BSA. INCORRECT CALCULATED BSA VALUE MAY FURTHER RESULT IN INCORRECT INDEXED HEMODYNAMIC, OXYGENATION AND VENTILATION ON THE PT MONITOR. WRONG PT WEIGHT MAY AFFECT DRUG CALCULATION VALUES. NO PT INJURY WAS REPORTED. GE HEALTHCARE'S INVESTIGATION INTO THE REPORTED OCCURRENCE IS STILL ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 S/5 ANESTHESIA MONITOR MODULAR MONITORS MHX GE HEALTHCARE FINLAND QY F-CU8

Patients

Seq Age Sex Outcome Treatment
1