FDA Adverse Event Summary report: N

MILLENIUM

MDR report key: 3020754 · Received March 18, 2013

Report

Report Number
MW5029449
Date Received
March 18, 2013
Date of Event
January 24, 2013
Report Date
March 18, 2013
Manufacturer
CERNER CORP
Product Code
OUG
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE CERNER MILLENNIUM POWER CHART FAILS TO TRACK LIFE CRITICAL IMPLANTED DEVICES SUCH AS PACEMAKERS, WHOSE BATTERIES HAVE FINITE LIFE. THIS PT WAS HOSPITALIZED FOR TWO WEEKS WITH CERNER EHR AND CPOE SYSTEMS DEPLOYED FOR THE CARE. AT NO POINT WAS THERE A WARNING THAT THE BATTERY WAS AT END OF LIFE. AFTER THE PT WAS DISCHARGED FROM THAT HOSPITAL AND THE CARE MANAGED WITH PAPER RECORDS WAS IT NOTED BY AN ASTUTE PHYSICIAN THAT THE PULSE GENERATOR MUST BE URGENTLY REPLACED, THE CERNER SYSTEM FAILS THE PT'S WITH PACEMAKERS BECAUSE IT HAS NO FUNCTIONALITY FOR TRACKING THE LIFE OF THE BATTERY OR ITS IMPLANT DATE. IT IS URGED THAT THERE BE A WARNING ON THE SYSTEM THAT THE EHR DOES NOT RECORD PACEMAKER OR AICD DEFIBRILLATOR SPECIFIC TRACKING INFO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
111842 MILLENIUM POWERCHART CPOE OUG CERNER CORP

Patients

Seq Age Sex Outcome Treatment
1 62 YR Life Threatening| O