FDA Adverse Event Malfunction Summary report: N

ECARECOORDINATOR

MDR report key: 5536459 · Received March 30, 2016

Report

Report Number
1125873-2016-00021
Event Type
Malfunction
Date Received
March 30, 2016
Date of Event
March 6, 2016
Report Date
May 3, 2016
Manufacturer
PHILIPS VISICU
Product Code
DRG
PMA / PMN Number
K141706
Removal / Correction Number
Z-1557-2016
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

ENGINEERING INVESTIGATED THIS ISSUE THROUGH CODE REVIEW AND PATIENT DATA; AND DETERMINED THAT IT IS ASSOCIATED WITH A SOFTWARE DEFECT. WHEN THE SOFTWARE DEFECT OCCURS, THE PATIENT'S SUBMITTED MEASUREMENTS ARE NOT POPULATED IN THE PATIENT'S DATA TABLE. THE CLINICIAN IS UNABLE TO VIEW THE PATIENT'S MEASUREMENTS IN THE ECARE COORDINATOR CLINICAL USER INTERFACE. THE CUSTOMER DOES RECEIVE ADHERENCE FLAGS INDICATING THE PATIENT'S MEASUREMENTS HAVE NOT BEEN RECEIVED. ENGINEERING CONTINUES TO INVESTIGATE AND DEVELOP A CORRECTION TO THIS ISSUE. A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 1

THE CORRECTION FOR THE DEFECTS WAS DEVELOPED, TESTED AND RELEASED. PHILIPS IS WORKING WITH CUSTOMERS TO IMPLEMENT THE CORRECTION. THE RECALL NUMBER IS PROVIDED IN CORRECTION NUMBER.

Description of Event or Problem · 1

CUSTOMER REPORTED THAT THEY WERE UNABLE TO VIEW THE PATIENT'S MEASUREMENTS (OXIMETRY AND BLOOD PRESSURE) IN THE CLINICAL USER INTERFACE OF THE DEVICE ON THE DATE OF THE INCIDENT. HOWEVER, THE CUSTOMER COULD VIEW THE PATIENT'S MEASUREMENTS WITH A BACK END TOOL. THE CUSTOMER DID NOT REPORT ANY CONSEQUENCES TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
192028 ECARECOORDINATOR ECARECOORDINATOR DRG PHILIPS VISICU 45356456091

Patients

Seq Age Sex Outcome Treatment
1