FDA Adverse Event Malfunction Summary report: N

HORIZON CARDIOLOGY HEMO

MDR report key: 1544129 · Received November 6, 2009

Report

Report Number
9616760-2008-00001
Event Type
Malfunction
Date Received
November 6, 2009
Date of Event
September 23, 2009
Report Date
October 8, 2009
Manufacturer
MCKESSON ISRAEL LTD.
Product Code
DQK
PMA / PMN Number
K050561
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

MCKESSON EVALUATED THE AFFECTED SYSTEM, AND IDENTIFIED THE ROOT CAUSE OF THE EVENT. THE SYSTEM WAS CONFIGURED TO COLLECT LOG FILES FROM A SCHILLER ARGUS PRO PB-1000 MONITOR UNIT, AND THIS CONFIGURATION CAUSED THE 5 SECONDS DELAY IN DISPLAYING WAVEFORMS ON THE HORIZON CARDIOLOGY HEMO SYSTEM. MCKESSON'S SERVICE ENGINEER CHANGED THE CONFIGURATION OF THE SYSTEM, TESTED THE SYSTEM AND VERIFIED THAT THE REPORTED ISSUE WAS RESOLVED. NO OTHER CLINICAL SITES WERE CONFIGURED TO COLLECT LOG FILES FROM A SCHILLER ARGUS PRO PB-1000 MONITOR UNIT.

Description of Event or Problem · 1

ON (B)(6), 2009 MCKESSON'S REPRESENTATIVE RECEIVED A REPORT FROM (B)(6), THAT DURING A CATH PROCEDURE, THE HORIZON CARDIOLOGY SYSTEM DISPLAYED PATIENT'S WAVEFORMS IN 5 SECONDS DELAY APPROXIMATELY. NO HARM TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HORIZON CARDIOLOGY HEMO HEMODYNAMIC SYSTEM DQK MCKESSON ISRAEL LTD. HCH11

Patients

Seq Age Sex Outcome Treatment
1 69 YR