FDA Adverse Event Malfunction Summary report: N

AMICAS VERICIS

MDR report key: 1701409 · Received May 14, 2010

Report

Report Number
1701409
Event Type
Malfunction
Date Received
May 14, 2010
Date of Event
May 11, 2010
Report Date
May 14, 2010
Manufacturer
AMICAS, INC., DIV. MERGE HEALTHCARE
Product Code
LLZ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
WI, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

WE RECENTLY COMPLETED A CARDIOLOGY SYSTEM HARDWARE UPGRADE. THE VENDOR OPTED TO UPGRADE THE SYSTEM SOFTWARE AT THE SAME TIME. ABOUT 10 DAYS AFTER THE UPGRADE, IT WAS REPORTED THAT THE LOW DOSE STRESS REPORTS WERE NOT ABLE TO GENERATE A REPORT, AND PHYSICIANS WERE NOT ABLE TO COMPLETE AND SIGN REPORTS. THE SPECIFIC STATEMENT THAT WOULD NOT EMBED IN THE REPORT IS "LOW DOSE: THERE WERE NO REGIONAL WALL MOTION ABNORMALITIES." BECAUSE OF THIS, A REPORT WAS NOT GENERATED FOR A PATIENT AWAITING LIVER TRANSPLANTATION. ALTHOUGH THE DIAGNOSTIC TEST HAD BEEN COMPLETED, THE ANESTHESIOLOGIST WAS UNAWARE OF THIS BECAUSE OF THE SOFTWARE PROBLEM, AND AS A RESULT, THE PATIENT DID NOT RECEIVE A NEEDED ORGAN. THE VENDOR WAS NOTIFIED IMMEDIATELY AND RESOLVED THE SOFTWARE PROBLEM WITHIN TWO DAYS.====================== HEALTH PROFESSIONAL'S IMPRESSION======================GLITCH CAUSED BY SOFTWARE UPGRADE====================== MANUFACTURER RESPONSE FOR SOFTWARE, VERICIS======================THEY HAVE INDICATED THEY WILL BE REPORTING TO MEDWATCH

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AMICAS VERICIS SOFTWARE, CARDIOLOGY REPORTING / IMAGE STORAGE LLZ AMICAS, INC., DIV. MERGE HEALTHCARE * *

Patients

Seq Age Sex Outcome Treatment
1 52 YR