FDA Adverse Event Malfunction Summary report: N

RAPIDPOINT 405

MDR report key: 3893566 · Received June 25, 2014

Report

Report Number
1217157-2014-00088
Event Type
Malfunction
Date Received
June 25, 2014
Date of Event
May 28, 2014
Report Date
May 28, 2014
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
GKR
PMA / PMN Number
K020616
Removal / Correction Number
1217157-08-21-2013-001-C
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE URGENT FIELD SAFETY NOTICE #30652 WAS HANDED TO THE CUSTOMER ON 11/22/2013 WITH EXPLANATION OF THE ISSUE. THE EVENT HAS OCCURED DUE TO 'PATIENT LIST BUTTON' WAS ENABLED ON THE INSTRUMENT. AN UPGRADED SOFTWARE V3.9 HAS AN ENHANCEMENT TO THE"PATIENT LIST" FEATURE. IN THIS IMPROVISED SOFTWARE, WHEN THE PATIENT LIST FEATURE IS USED TO ENTER PATIENT DEMOGRAPHIC DATA, THE SYSTEM NO LONGER PRESELECTS THE FIRST RECORD IN THE PATIENT LIST AND THIS MINIMIZES THE CHANCES OF SELECTING THE INCORRECT PATIENT. CUSTOMER INDICATED THAT RESULT ON INCORRECT PATIENT ID WAS NOT REPORTED. CUSTOMER ALSO INDICATED THAT THEY UPGRADED THE SYSTEM WITH SOFTWARE(V3.9).

Description of Event or Problem · 1

CUSTOMER REPORTED THAT INCORRECT PATIENT ID WAS ATTACHED TO THE RESULTS WHEN IT PRINTED OUT. THERE WAS NO REPORT OF INJURY DUE TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
370412 RAPIDPOINT 405 RP 405 GKR SIEMENS HEALTHCARE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1