FDA Adverse Event Other Summary report: N

ICENTRAL

MDR report key: 2152969 · Received June 23, 2011

Report

Report Number
9610105-2011-00018
Event Type
Other
Date Received
June 23, 2011
Date of Event
May 27, 2011
Report Date
June 23, 2011
Manufacturer
GE HEALTHCARE FINLAND OY
Product Code
MSX
PMA / PMN Number
K052972
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

UNDER (B)(6), PATIENT INFORMATION IS CONSIDERED CONFIDENTIAL AND WILL NOT BE RELEASED BY THE HOSPITAL. REVIEW OF THE ICENTRAL LOG FILES SHOWS THAT THE ICENTRAL PASSWORD PROTECTED AUDIBLE ALARM SETTING WAS SET TO "DISABLED" BY THE USER; THEREFORE, ONLY VISUAL ALARMS WERE PROVIDED AT THE ICENTRAL. NO MALFUNCTION OF THE ICENTRAL OR BEDSIDE MONITOR WAS IDENTIFIED. THE SYSTEM PERFORMED AS DESIGNED.

Description of Event or Problem · 1

IT WAS REPORTED THAT AN ASYSTOLE EVENT OCCURRED AND WAS DISCOVERED BY THE NURSE WHEN SHE ENTERED THE ROOM. THE BEDSIDE MONITOR PROVIDED AUDIBLE AND VISUAL ALARMS. THE HOSPITAL STATED THAT THE ALARM WAS NOT NOTICED AT THE ALARM DISPLAY UNIT (ADU) OR AT THE ICENTRAL. THE ALARM HISTORY SHOWS SEVERAL BRADYCARDIA EVENTS PRIOR TO THE ASYSTOLE EVENT. A REVIEW OF THE LOG FILES CONFIRMS THAT THE ICENTRAL AUDIBLE ALARM FUNCTION WAS DISABLED BY THE USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ICENTRAL CLINICAL NETWORK AND CENTRAL STATION MSX GE HEALTHCARE FINLAND OY

Patients

Seq Age Sex Outcome Treatment
1 Death