FDA Adverse Event Injury Summary report: N

MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS)

MDR report key: 18301541 · Received December 8, 2023

Report

Report Number
MW5149058
Event Type
Injury
Date Received
December 8, 2023
Report Date
December 6, 2023
Manufacturer
SPACELABS HEALTHCARE INC.
Product Code
MHX
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MI, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

SPACELABS XPREZZON/QUBE MONITORS (SW: 3.08.02) WHEN USED WITH COMMAND MODULE 91496 (SW: 2.07.00) DEFAULT TO ALLOW USERS THE CAPABILITY TO TURN OFF ALL ECG (ELECTROCARDIOGRAM) ALARMS INCLUDING LETHAL ARRYTHMIA'S VFIB (VENTRICULAR FIBRILLATION) AND ASYSTOLE. IF USERS ARE NOT AWARE OF THIS, THEY COULD TURN ECG (ELECTROCARDIOGRAM) ALARMS OFF AND POTENTIALLY MISS LETHAL ARRYTHMIAS. SPACELABS NEEDS TO UPDATE THEIR SOFTWARE SO THAT THE "ALARM CONTROL" SETTING IN THE 91496 SETTINGS IS DEFAULTED TO OFF. REFERENCE REPORTS: MW5149056, MW5149057.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
75861 MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS) MONITOR, PHYSIOLOGICAL, PATIENT(WITH ARRHYTHMIA DETECTION OR ALARMS) MHX SPACELABS HEALTHCARE INC. 91496

Patients

Seq Age Sex Outcome Treatment
1 Unknown Life Threatening