FDA Adverse Event Malfunction Summary report: N

MCKESSON ANESTHESIA CARE

MDR report key: 5004240 · Received August 12, 2015

Report

Report Number
3009662297-2015-00003
Event Type
Malfunction
Date Received
August 12, 2015
Date of Event
August 10, 2015
Report Date
August 12, 2015
Manufacturer
MCKESSON TECHNOLOGIES INC.
Product Code
BSZ
PMA / PMN Number
K113633
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

AN INVESTIGATION WAS PERFORMED USING A SIMULATED TESTING ENVIRONMENT TO DETERMINE THE ROOT CAUSE OF THE REPORTED EVENT. THE RESULTS OF THE INVESTIGATION CONCLUDED THAT INCORRECT INFORMATION WAS DISPLAYED ON THE PAE SCREENS OF THE REPORTING FACILITY AFTER THEY CHANGED THE PAE CONFIGURATION AND DID NOT RESTART THE SERVICE. ALTHOUGH THE INFORMATION WAS INCORRECTLY DISPLAYED ON THE PAE SCREEN, THE DATABASE STORAGE AND ASSOCIATED REPORTS REFLECTED THE CORRECT PATIENT MEDICAL CONDITION DATA. THERE HAVE BEEN NO ADVERSE EVENTS OR PATIENT INJURIES RESULTANT FROM THE REPORTED ALLEGED MALFUNCTION.

Description of Event or Problem · 1

A CUSTOMER SITE REPORTED THAT MEDICAL HISTORY CONDITION DATA ON THE MEDICAL HISTORY SCREEN OF THE PRE-ANESTHESIA EVALUATION (PAE) APPLICATION DID NOT REFLECT THE CORRECT CONDITIONS. THERE WERE NO ADVERSE EVENTS OR PATIENT INJURIES RESULTANT FROM THE REPORTED ALLEGED MALFUNCTIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
529976 MCKESSON ANESTHESIA CARE BSZ MCKESSON TECHNOLOGIES INC. MAC 15.0.4 VERSION

Patients

Seq Age Sex Outcome Treatment
1 UNK