FDA Adverse Event
Malfunction
Summary report: N
CARESCAPE B850
MDR report key: 4251098
·
Received November 5, 2014
Report
- Report Number
- MW5038998
- Event Type
- Malfunction
- Date Received
- November 5, 2014
- Date of Event
- November 1, 2014
- Report Date
- November 5, 2014
- Manufacturer
- GE HEALTHCARE
- Product Code
- MHX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
WE HAD A PT WHO WAS HAVING NEURO ISSUES, AND WHOSE RESPIRATIONS WERE SLOWING DOWN TO APPROX A RATE OF 5-8 INTERMITTENTLY. HOWEVER THE CENTRAL INFO CENTER (CIC) WAS READING AT ABOUT 30-40 ABOVE THE PT'S ACTUAL RATE. THE MONITOR, BECAUSE IT WAS GIVING A FALSE HIGH READING NEVER ALARMED FOR THIS CONDITION. THE MONITOR AT THE BEDSIDE AND THE CIC BOTH READING RESP RATE: 44 BUT THE PT WAS BREAKING 5/ MIN. RN VERIFIED THIS NUMBER MANUALLY BY USING A PORTABLE CO2 MONITOR, AND CONFIRMED RESP. TO = 5. PT WAS BEING MONITORED ON A B850 S/N# (B)(4), B850 SOFTWARE REV. 2.0.6.2. ALSO IN USE WAS A PT DATA MODULE (PDM), S/N# (B)(4). THE BEDSIDE DEVICE WAS REPORTING TO A CLINICAL INFO CENTER (CIC) S/N# (B)(4), SOFTWARE CA: 5.1.1, OS: 3.0.1, SV:1.1.1.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 710078 | CARESCAPE B850 | B850 | MHX | GE HEALTHCARE | B850 | ||
| 710079 | PT DATA MODULE | PMD | MHX | ||||
| 710080 | CLINICAL INFO CENTER | CIC | DSI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 6 YR | Other |