FDA Adverse Event
Malfunction
Summary report: N
MERGE HEMO
MDR report key: 20063648
·
Received August 26, 2024
Report
- Report Number
- 20063648
- Event Type
- Malfunction
- Date Received
- August 26, 2024
- Date of Event
- July 5, 2024
- Report Date
- July 23, 2024
- Manufacturer
- MERGE HEALTHCARE INCORPORATED
- Product Code
- DQK
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
MERGE HEMODYNAMIC MONITORING SYSTEM DURING CASE SHOWED INACCURATE HEAR RATE (HR) (30'S), PATIENT WAS PLACED ON ANESTHESIA MONITOR HR (70'S). MERGE VENDOR NOTIFIED AND CAME OUT, REPORT TO OUR BIOMED DEPARTMENT, UNABLE TO IDENTIFY CAUSE OF ISSUE; NOTED ROUTINELY OCCURRING. SYSTEM CONTINUES TO PRESENT A RISK AS IT CONTINUES TO FAIL AT DELIVERING ACTUAL PATIENT HEMODYNAMICS, WHICH INCLUDES BUT NOT LIMITED TO RANDOM BLANK OR ZERO SPA)2 LEVELS, RANDOM HR OF 30 OR 0, RANDOM SYSTEM BLANKING OUT DURING MID CASE. THE OEM HAS IN FACT BEEN PRESENT FOR SEVERAL OF THESE OCCURRENCES, HOWEVER HAVE YET TO UNDERSTAND THE ROOT CAUSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1480812 | MERGE HEMO | COMPUTER, DIAGNOSTIC, PROGRAMMABLE | DQK | MERGE HEALTHCARE INCORPORATED | PB-1000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 76 YR | Female |