FDA Adverse Event Injury Summary report: N

EXTENSION ENGAGE

MDR report key: 18885134 · Received March 8, 2024

Report

Report Number
MW5152609
Event Type
Injury
Date Received
March 8, 2024
Date of Event
February 26, 2024
Report Date
March 6, 2024
Manufacturer
STRYKER CORP. / VOCERA COMMUNICATIONS, INC.
Product Code
MSX
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
US
Reporter Occupation
501
Health Professional
N

Narratives

Description of Event or Problem · 0

ESTABLISHMENT: VOCERA COMMUNICATIONS, INC. BUSINESS TRADE NAME: EXTENSION HEALTHCARE 1950 W COOK RD STE 101 FORT WAYNE, IN 46818 REGISTRATION NUMBER: 3010694760, FEI NUMBER: 3010694760, STATUS: ACTIVE DATE OF REGISTRATION STATUS: 2024, OWNER/OPERATOR: STRYKER CORP., 1901 ROMENCE PKWY PORTAGE, MI US 49002, OWNER/OPERATOR NUMBER: (B)(4), OFFICIAL CORRESPONDENT: (B)(4) STRYKER, 3800 E. CENTRE AVE, PORTAGE, MI, 49002, PHONE: 1-269-5678254. THE PRODUCT HAD A CONFIGURATION CHANGE DONE BY A USER WHICH STOPPED A CRITICAL INTEGRATION FOR NURSE CALL. THIS PREVENTED CRITICAL COMMUNICATION OF ADVERSE PATIENT EVENTS SUCH AS BED EXIT, PATIENT REQUEST FOR NURSE, FALLS IN SHOWER, AND FALLS IN THE COMMODE FROM GETTING DELIVERED ELECTRONICALLY TO THE RN. COMPANY CLAIMS THAT THEY DO NOT TRACK THESE EVENTS WHERE A USER CAN ESSENTIALLY TURN EVERYTHING OFF AND IS SOMETHING THAT IS A PRODUCT FEATURE THAT WE CAN REQUEST TO DEVELOP. THIS IS NOT ACCEPTABLE. ANY KIND OF MEDICAL DEVICE SHOULD BE ABLE TO RECORD ALL ENTITIES WHICH MAKE CHANGES TO IT. IF THIS WAS THE SAME BEHAVIOR FOR INFUSION PUMPS INTEGRATED INTO EHR, WE'D HAVE MUCH MORE PATIENT ADVERSE EVENTS. TECHNICALLY SPEAKING ITS ALSO EASILY FEASIBLE TO DO AS WELL, SO IT IS DOUBLY WRONG FOR THEM TO TOUT SOMETHING AS A FEATURE WHEN IT IS THE BASIC DEFAULT IN ALL NON HEALTHCARE RELATED WEB TECHNOLOGIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
181223 EXTENSION ENGAGE SYSTEM, NETWORK AND COMMUNICATION, PHYSIOLOGICAL MONITORS MSX STRYKER CORP. / VOCERA COMMUNICATIONS, INC.

Patients

Seq Age Sex Outcome Treatment
1 34 YR Male