FDA Adverse Event Malfunction Summary report: N

MERGE HEMO

MDR report key: 20297158 · Received September 24, 2024

Report

Report Number
2183926-2024-00003
Event Type
Malfunction
Date Received
September 24, 2024
Date of Event
August 26, 2024
Report Date
August 26, 2024
Manufacturer
MERGE HEALTHCARE
Product Code
DQK
UDI-DI
00842000100966
PMA / PMN Number
K152864
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPDATED THE FOLLOWING FIELDS: MEDSUN # (B)(4) IN H10, 510K NUMBER K152864 IN G4, TYPE OF REPORT FOLLOW UP 001 IN G6.

Additional Manufacturer Narrative · 0

MERGE HEALTHCARE HAS PERFORMED A COMPREHENSIVE INVESTIGATION AND RISK TO HEALTH ANALYSIS OF THE REPORTED ISSUE. THE INVESTIGATION DETERMINED THAT NO MALFUNCTION OF THE DEVICE OCCURRED, AND THE HEALTH HAZARD EVALUATION CONCLUDED THAT THE EVENT IS UNLIKELY TO RESULT IN ANY ADVERSE HEALTH CONSEQUENCES. NO PATIENT HARM HAS OCCURRED AS A RESULT OF THE EVENTS REPORTED BY THE CUSTOMER FACILITY. MERGE HEALTHCARE WILL CONTINUE TO FOLLOW UP WITH FACILITY STAFF TO PREVENT FUTURE OCCURRENCES OF THE ISSUE. REVISED INFORMATION CONTAINED IN THIS SUPPLEMENTAL REPORT INCLUDE THE FOLLOWING: G6 - INDICATION THAT THIS IS FOLLOW-UP REPORT 002 H2-INDICATION OF ADDITIONAL INFORMATION H6 - MEDICAL DEVICE PROBLEM CODE:REMOVE 1112 AND 3189, ADDED 2017 INVESTIGATION CONCLUSION CODE: REMOVE 51. THIS IS THE FINAL REPORT FOR 2183926-2024-00003.

Description of Event or Problem · 0

ON 08/26/2024, MERGE HEALTHCARE RECEIVED A COPY OF A MEDSUN REPORT. A MERGE HEMO CUSTOMER REPORTED THAT A USER WAS UNABLE TO SEND COMPLETED CARDIAC CATHETERIZATION PATIENT REPORTS TO THE EMR POST PROCEDURE. MERGE HEALTHCARE HAS INVESTIGATED THE ISSUE AND DETERMINED THAT THE INABILITY TO SEND REPORTS TO THE EMR WAS CAUSED BY A POLICY CHANGE WITHIN THE CUSTOMER'S ENVIRONMENT THAT AFFECTED FILE PERMISSIONS. WITHOUT THE APPROPRIATE FILE PERMISSIONS, PATIENT REPORTS CANNOT BE CREATED AND TRANSFERRED TO THE EMR. TO RESOLVE THE ISSUE, MERGE TECHNICAL SUPPORT RESTORED THE FILE PERMISSIONS WITHIN THE CUSTOMER'S ENVIRONMENT. THERE HAVE BEEN NO REPORTS OF PATIENT INJURY OR HARM BECAUSE OF THIS ISSUE. REFERENCE: 300360000-2024-8015.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1292310 MERGE HEMO COMPUTER, DIAGNOSTIC, PROGRAMMABLE DQK MERGE HEALTHCARE 10.4.1 00842000100966

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown