FDA Adverse Event Injury Summary report: N

HORIZON MEDICAL IMAGING

MDR report key: 4454386 · Received January 23, 2015

Report

Report Number
8022257-2015-00001
Event Type
Injury
Date Received
January 23, 2015
Date of Event
December 23, 2014
Report Date
December 23, 2014
Manufacturer
MCKESSON MEDICAL IMAGING COMPANY
Product Code
LLZ
PMA / PMN Number
K043146
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

MCKESSON IS CURRENTLY INVESTIGATING IN ORDER TO UNDERSTAND THE ROOT CAUSE OF THIS ISSUE. ONCE THE INVESTIGATION IS COMPLETE, MCKESSON WILL SUBMIT A F/U REPORT WITH THE EVAL SUMMARY.

Description of Event or Problem · 1

A CUSTOMER REPORTED AN EMERGENCY ROOM (ER) PATIENT WAS IMAGED USING A GENERIC NAME PRIOR TO SCHEDULING THE STUDY WITH THE PT'S ACTUAL NAME RESULTING IN TWO PATIENTS IN HMI. THE TWO STUDIES WERE MERGED IN HMI USING THE WA MANAGER TOOL. IN THIS INSTANCE, MERGING OF THE SCHEDULED STUDY AND PERFORMED STUDY WAS INCOMPLETE WITH THE SCHEDULED STUDY NOT BEING REMOVED FROM THE SCHEDULED STUDIES LIST. SUBSEQUENTLY, THE ER PT WAS INADVERTENTLY SUBJECTED TO A SECOND CHEST X-RAY IMAGING PROCEDURE. THE DATE OF THIS ADVERSE EVENT AND PT INFO WERE NOT PROVIDED BY THE REPORTING FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
53633 HORIZON MEDICAL IMAGING PICTURE ARCHIVING AND COMM.SYSTEM LLZ MCKESSON MEDICAL IMAGING COMPANY 11.9

Patients

Seq Age Sex Outcome Treatment
1 UNK Other