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 |