FDA Adverse Event Malfunction Summary report: N

CARESUITE CRITICAL CARE MANAGER

MDR report key: 1581692 · Received December 23, 2009

Report

Report Number
3005244943-2009-00004
Event Type
Malfunction
Date Received
December 23, 2009
Report Date
April 15, 2009
Manufacturer
PICIS, INC.
Product Code
NSX
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

A PRELIMINARY INVESTIGATION HAS DETERMINED THE REPORTED ERROR CONDITION IS INTERMITTENTLY BE TRIGGERED WHEN THE USER ATTEMPTS TO CONNECT AN INFUSION PUMP, WHILE IN THE APPLICATION THE ORDERS 'DOCUMENT AN ACTION" WINDOW IS OPEN. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHILE CONNECTING A THIRD PARTY INFUSION PUMP TO THE CRITICAL CARE MANAGER (MEDICAL DEVICE DATA SYSTEM) APPLICATION, THE MANUAL DOCUMENTATION OF PT "FLUID OUT" DATA CHANGED FROM MANUAL ENTRY IN THE APPLICATION TO AUTOMATIC AND CONTINUOUS RECORDING OF THE LAST DATA ENTERED. THE AUTOMATIC RECORDING COULD NOT BE STOPPED. USERS COULD NOT MANUALLY UPDATE APPLICATION WITH REAL-TIM "FLUID OUT" DATA. NO PT INJURIES HAVE BEEN REPORTED IN CONNECTION WITH THIS ERROR CONDITION. THE ERROR IMPACTS RECORDING OF PT "FLUID OUT" DATA WITHIN THE CRITICAL CARE MANAGER APPLICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CARESUITE CRITICAL CARE MANAGER S/W, TRANSMISSION & STORAGE PATIENT DATA NSX PICIS, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 NI THIRD PARTY INFUSION PUMP