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