FDA Adverse Event Malfunction Summary report: N

MCKESSON ANESTHESIA CARE

MDR report key: 4465600 · Received January 23, 2015

Report

Report Number
3009662297-2015-00001
Event Type
Malfunction
Date Received
January 23, 2015
Date of Event
January 22, 2015
Report Date
January 27, 2015
Manufacturer
MCKESSON TECHNOLOGIES INC.
Product Code
BSZ
PMA / PMN Number
K113633
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

UPON INVESTIGATION, IT WAS DETERMINED THAT WHEN THE ANESTHESIA CARE RECORD (ACR) APPLICATION IS INSTALLED ON A WORKSTATION RUNNING (B)(4), THE ACR APPLICATION WILL FAIL TO RETAIN CASE DATA IF THE USER HOVERS HIS/HER MOUSE OVER THE NOTES (COMMENTS) PANE, THE MESSAGES PANE, OR THE FLUID INTAKE/OUTPUT SCREEN AND A TOOL TIP IS DISPLAYED. AS A RESULT, DURING THIS PERIOD OF INACTIVITY, CASE DATA FROM THE PHYSIOLOGICAL MONITORS ARE NOT RECORDED AND CASE DATA UPDATES RECEIVED FROM OTHER SYSTEMS (VIA INTERFACES AND INTEGRATION) ARE NOT RETAINED ON THE WORKSTATION. WHEN THE USER¿S MOUSE IS RE-POSITIONED, THE APPLICATION WILL RETURN TO ITS ACTIVE STATE AND BEGIN TO RETAIN CASE DATA. THE REPORTING HOSP SITE WAS NOTIFIED OF THE RESULTS OF THE INVESTIGATION AND THE POTENTIAL OF THE ACR SCREEN TO BECOME UNRESPONSIVE AND DATA TO NOT RECORD. TYPICALLY THE ACR APPLICATION IS USED AS TOUCH-SCREEN APPLICATION WHERE THE MOUSE IS RARELY UTILIZED. THIS EVENT WILL NOT OCCUR ON A WORKSTATION WHEN THE USER IS USING A TOUCH-SCREEN MONITOR WITHOUT A MOUSE. THERE WAS NO INJURY ON THE ACTUAL PT AND/OR NO DELAY IN PT CARE.

Description of Event or Problem · 1

IT WAS REPORTED BY ONE CUSTOMER SITE OF AN ALLEGED LOSS OF DATA DISPLAY BETWEEN OUR COMPANY¿S SOFTWARE APPLICATION AND ANOTHER VENDOR¿S PHYSIOLOGICAL DEVICE. THERE WERE NO ADVERSE EVENTS OF PT INJURIES RESULTANT FROM THE REPORTED ALLEGED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
54041 MCKESSON ANESTHESIA CARE MCKESSON ANESTHESIA CARE BSZ MCKESSON TECHNOLOGIES INC. MAX 15.X VERSIONS

Patients

Seq Age Sex Outcome Treatment
1 UNK