FDA Adverse Event
Malfunction
Summary report: N
MERGE HEMO
MDR report key: 22529570
·
Received July 17, 2025
Report
- Report Number
- 22529570
- Event Type
- Malfunction
- Date Received
- July 17, 2025
- Date of Event
- July 4, 2025
- Report Date
- July 15, 2025
- Manufacturer
- MERGE HEALTHCARE SOLUTIONS INC.
- 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
CATH LAB ROOM(B)(6)- NEW MERGE PDM [PATIENT DATA MODULE] #(B)(6): DURING PACEMAKER INSERTION THERE WAS MULTIPLE REPOSITIONING OF RV [RIGHT VENTRICLE] LEAD. PATIENT HAD A BLOOD PRESSURE CUFF READING IN 50'S SYSTOLIC. AFTER A SECOND CUFF READING OF 60'S SYSTOLIC, MERGE VITALS SCREEN COMPLETELY SHUT DOWN AND WAS SHOWING A BLACK SCREEN WITH THE ERROR MESSAGE "PDM DISCONNECTED". AT THAT TIME, IT WAS ASSUMED PATIENT WAS EXPERIENCING A CARDIAC TAMPONADE. RN WENT TO GET ANOTHER PORTABLE VITALS MACHINE. ANOTHER NURSE WAS TROUBLESHOOTING MERGE. WAS ABLE TO GET MERGE BACK UP AFTER A SHUTDOWN OF THE MONITOR AND PDM. IT WAS DOWN APPROXIMATELY 15-20 MINUTES WHILE PATIENT WAS DETERIORATING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 821645 | MERGE HEMO | COMPUTER, DIAGNOSTIC, PROGRAMMABLE | DQK | MERGE HEALTHCARE SOLUTIONS INC. | MERGE HEMO PDM |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 85 YR | Male |