FDA Adverse Event
Malfunction
Summary report: N
JERON NURSE CALL SYSTEM, MODEL PROVIDER 680
MDR report key: 165114
·
Received April 28, 1998
Report
- Report Number
- 165114
- Event Type
- Malfunction
- Date Received
- April 28, 1998
- Date of Event
- April 13, 1998
- Report Date
- April 23, 1998
- Manufacturer
- JERON ELECTRONIC SYSTEM, INC.
- Product Code
- ILQ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TX, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
CODE-BLUE ALARM MONITORED BY OPERATORS FAILED TO INDICATE THE ROOM NUMBER OF A CODE. IT INDICATED THE FLOOR, NOT THE ROOM NUMBER. THE CODE-BLUE ALARM WORKED ON THE FLOOR THAT THE CODE WAS ON. THIS PREVENTED THE CODE TEAM FROM RESPONDING. THE NURSES ON THE FLOOR SUCCESSFULLY REVIVED THE PT. WITH NO FURTHER COMPLICATIONS. THE MFR RE-CONFIGURED THE SOFTWARE AND THE SYSTEM IS NOW FULLY FUNCTIONAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | JERON NURSE CALL SYSTEM, MODEL PROVIDER 680 | NURSE CALL SYSTEM | ILQ | JERON ELECTRONIC SYSTEM, INC. | PROVIDER 680 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |