FDA Adverse Event Malfunction Summary report: N

CARDIAC FUNCTIONAL ANALYSIS (CFA)

MDR report key: 3040415 · Received March 12, 2013

Report

Report Number
2134213-2013-00002
Event Type
Malfunction
Date Received
March 12, 2013
Manufacturer
VITAL IMAGES, INC.
Product Code
LLZ
PMA / PMN Number
K052632
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE RISK ASSOCIATED WITH THIS ISSUE IS THAT PT MONITORING, THERAPIES OR TREATMENT MAY BE PROVIDED ERRONEOUSLY BASED ON INCORRECT DATA REPORTED IN THE VITREA MULTI-CHAMBER CFA APPLICATION. A RARE BUT IRREVERSIBLE SERIOUS INJURY MAY OCCUR UNDER NORMAL USE CONDITIONS. THE PRODUCT HAS BEEN IN COMMERCIAL USE FOR APPROXIMATELY FOUR YEARS, WITH 102 SYSTEMS LICENSED WITHIN THE VITREA USER BASE. NO COMPLAINT OR FIELD REPORT HAS BEEN REPORTED.

Description of Event or Problem · 1

THE MULTI-CHAMBER CFA ISSUE WAS REPORTED INTERNALLY. IT RELATES TO OUT OF SYNCHRONIZATION SEGMENTATION MODIFICATIONS THAT DO NOT ALIGN TO OUTPUT NUMERICAL VALUES. IT WAS DISCOVERED AND IN CERTAIN WORKFLOW EDITING THE CHAMBER SEGMENTATION DID NOT RESULT IN CORRESPONDING CHANGES TO DATA SHOWN WITHIN TIME VOLUME GRAPHS, INDEXES, AND RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
104342 CARDIAC FUNCTIONAL ANALYSIS (CFA) PICTURE ARCHIVING AND COMMUNICATIONS SYS LLZ VITAL IMAGES, INC. 6.4

Patients

Seq Age Sex Outcome Treatment
1