FDA Adverse Event Malfunction Summary report: N

CARESCAPE MONITOR B850

MDR report key: 2160301 · Received April 28, 2011

Report

Report Number
2124823-2011-00054
Event Type
Malfunction
Date Received
April 28, 2011
Date of Event
March 31, 2011
Report Date
April 28, 2011
Manufacturer
GE HEALTHCARE
Product Code
MHX
PMA / PMN Number
K092027
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

UNDER (B)(6) LAW, PATIENT INFORMATION IS CONSIDERED CONFIDENTIAL AND WILL NOT BE RELEASED BY THE HOSPITAL. THIS ISSUE AFFECTS THE PARAMETER ALARM PRIORITY FOR HEART RATE, PULSE OXIMETRY, AND INVASIVE BLOOD PRESSURE. RECURRENCE OF THIS ISSUE COULD RESULT IN DELAYED CAREGIVER RESPONSE TO A HR, SP02, OR IBP ALARM. THE ALARM STILL OCCURS, BUT MAY ALARM AT LOW PRIORITY. LOW PRIORITY ALARMS HAVE A SINGLE BRIEF AUDIO TONE AND A PERSISTENT VISUAL ALERT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CARESCAPE B850 HEART RATE ALARM PRIORITY, MAY INADVERTENTLY CHANGE FROM ESCALATING PRIORITY TO LOW PRIORITY, WHEN THE USER CHANGES THE HEART RATE LIMIT AT THE ICENTRAL. THERE WAS NO DEATH, SERIOUS INJURY, OR DELAY IN PATIENT TREATMENT ASSOCIATED WITH THIS EVENT. GE HEALTHCARE'S INVESTIGATION IS ONGOING. A FOLLOW UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION HAS BEEN COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CARESCAPE MONITOR B850 MULTI-PARAMETER PATIENT MONITOR MHX GE HEALTHCARE

Patients

Seq Age Sex Outcome Treatment
1