FDA Adverse Event Injury Summary report: N

SOARIAN

MDR report key: 3829996 · Received May 19, 2014

Report

Report Number
MW5036202
Event Type
Injury
Date Received
May 19, 2014
Date of Event
May 15, 2014
Report Date
May 17, 2014
Manufacturer
SIEMENS
Product Code
NSX
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

PATIENT WAS ADMITTED TO HOSPITAL WITH CHEST PAIN. CARDIAC ENZYME TESTS WERE ORDERED TO RULE OUT MYOCARDIAL INFARCTION. CPK AND ISOENZYME MB CAME BACK IN TO THE EHR, BUT NO ONE KNEW THEY WERE THERE. THEY WERE POSITIVE FOR HEART ATTACK FOR TREATMENT WAS DELAYED BECAUSE OF THE DELAY IN GETTING THE RESULTS, THAT WERE ON THE EHR FOR SEVERAL HOURS. THE DESIGN OF THE EHR IS FLAWED TO NOT HAVE A WARNING THAT CRITICAL LIFE THREATENING RESULTS CAME BACK FROM THE LAB.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
295645 SOARIAN NSX SIEMENS

Patients

Seq Age Sex Outcome Treatment
1 62 YR Life Threatening