FDA Adverse Event Malfunction Summary report: N

MCKESSON ANESTHESIA CARE

MDR report key: 3819046 · Received January 31, 2014

Report

Report Number
3009662297-2014-00004
Event Type
Malfunction
Date Received
January 31, 2014
Date of Event
January 10, 2014
Report Date
January 31, 2014
Manufacturer
MCKESSON TECHNOLOGIES, INC.
Product Code
BSZ
PMA / PMN Number
K113633
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

AN INVESTIGATION WAS PERFORMED USING A SIMULATED TESTING ENVIRONMENT TO DETERMINE THE ROOT CAUSE OF THE REPORTED EVENT. THE RESULTS OF THE INVESTIGATION CONCLUDED THAT INCORRECT INFORMATION WAS DISPLAYED ON THE PAE SCREENS OF THE REPORTING FACILITY. ALTHOUGH THE INFORMATION WAS INCORRECTLY DISPLAYED ON THE PAE SCREEN, THE DATABASE STORAGE AND ASSOCIATED REPORTS REFLECTED THE CORRECT PT MEDICAL CONDITIONS DATA. THE ACTUAL DEFECT DID NOT OCCUR EVERY TIME AND WAS SPORADIC IN NATURE. FURTHER ANALYSIS DETERMINED THAT THE MALFUNCTION WAS LIKELY CAUSED BY AS DEFECT IN THE DEVICE SOFTWARE. THERE HAVE BEEN NO ADVERSE EVENTS OR PT INJURIES RESULTANT FORM THE REPORTED ALLEGED MALFUNCTION.

Description of Event or Problem · 1

A CUSTOMER SITE REPORTED THAT MEDICAL HISTORY CONDITION DATA ON THE MEDICAL HISTORY SCREEN OF THE PRE-ANESTHESIA EVALUATION (PAE) APPLICATION DID NOT REFLECT THE CORRECT CONDITIONS. THERE WERE NO ADVERSE EVENTS OR PT INJURIES RESULTANT FORM THE REPORTED ALLEGED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
68680 MCKESSON ANESTHESIA CARE MCKESSON ANESTHESIA CARE BSZ MCKESSON TECHNOLOGIES, INC. MAC 15.0.4 VERSION

Patients

Seq Age Sex Outcome Treatment
1