FDA Adverse Event Malfunction Summary report: N

SEPSIS

MDR report key: 24701748 · Received March 26, 2026

Report

Report Number
1931259-2025-00008
Event Type
Malfunction
Date Received
March 26, 2026
Report Date
March 26, 2026
Product Code
SAK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP MDR IS SUBMITTED TO CORRECT THE INITIAL MDR REPORT NUMBER LISTED AS 1193125-2025-00008. THE CORRECT REPORT NUMBER IS 193125-2025-00008. CERNER COMPLETED ITS INVESTIGATION OF THIS EVENT (INITIAL MDR 1193125-2025-00008) AND WAS UNABLE TO CONCLUSIVELY IDENTIFY A SINGLE DEFINITIVE ROOT CAUSE. THROUGH FUNCTIONAL AND REGRESSION TESTING, THE INVESTIGATION IDENTIFIED CONTRIBUTING FACTORS RELATED TO PROCESSING LARGE DATA PAYLOADS, INCLUDING LEGACY SEPSIS DATA-HANDLING LIMITATIONS, RETRY BEHAVIOR THAT CAN PROLONG DELAYS, AND PAYLOAD GROWTH ASSOCIATED WITH CUSTOMER-CONTROLLED DATA. IN THIS EVENT, A CLIENT-SPECIFIC BACKLOG DELAYED SEPSIS NOTIFICATION PROCESSING FOR APPROXIMATELY 1 HOUR AND 20 MINUTES. CERNER RESTORED PROCESSING BY REMOVING ANOMALOUS DATA ASSOCIATED WITH THE BACKLOG AND IMPLEMENTED MEASURES TO REDUCE RECURRENCE, INCLUDING LIMITING RETRIES FOR ANOMALOUS DATA AND ENHANCING LOGGING. CERNER CONSIDERS THIS INVESTIGATION COMPLETE, AND NO FURTHER EVENT-SPECIFIC ACTION IS PLANNED.

Description of Event or Problem · 0

THIS MDR IS SUBMITTED TO CORRECT THE INITIAL MDR REPORT NUMBER LISTED AS 1193125-2025-00008. THE CORRECT REPORT NUMBER IS 193125-2025-00008. .

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
757134 SEPSIS SOFTWARE SAK

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown