FDA Adverse Event Malfunction Summary report: N

MCKESSON ANESTHESIA CARE

MDR report key: 5053773 · Received September 3, 2015

Report

Report Number
3009662297-2015-00004
Event Type
Malfunction
Date Received
September 3, 2015
Date of Event
August 12, 2015
Report Date
September 3, 2015
Manufacturer
MCKESSON TECHNOLOGIES, INC.
Product Code
BSZ
PMA / PMN Number
K113633
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
HEALTH PROFESSIONAL

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 FORM THE REPORTED ALLEGED MALFUNCTION.

Description of Event or Problem · 1

A CUSTOMER SITE REPORTED THAT A 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 MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
586666 MCKESSON ANESTHESIA CARE MCKESSON ANESTHESIA CARE BSZ MCKESSON TECHNOLOGIES, INC. MAC 15.0.4 VERSION

Patients

Seq Age Sex Outcome Treatment
1