FDA Adverse Event Injury Summary report: N

INFINITY ACUTE CARE SYSTEM (M540)

MDR report key: 7048553 · Received November 21, 2017

Report

Report Number
1220063-2017-00060
Event Type
Injury
Date Received
November 21, 2017
Date of Event
November 15, 2017
Report Date
January 8, 2018
Manufacturer
DRAEGER MEDICAL SYSTEMS, INC
Product Code
CBK
PMA / PMN Number
K113798
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

AFTER REVIEWING THE LOGS FROM THE EVENT, IT WAS FOUND THAT AN ASYSTOLE ALARM GENERATED DURING THE EVENT. THE DEVICE WAS TESTED FOR FUNCTIONALITY BY A DRAEGER SERVICE TECHNICIAN AND IT WAS FOUND THAT ASYSTOLE GENERATED BOTH AUDIBLY AND VISUALLY CORRECTLY. THERE WAS NO FAILURE WITH THE DEVICE. OUR DEVICE COULD BE EXCLUDED FROM THE PATIENT EVENT.

Additional Manufacturer Narrative · 1

THE INVESTIGATION HAS BEEN STARTED BUT NOT YET CONCLUDED. THE RESULT WILL BE PUBLISHED IN THE FOLLOW UP REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING PATIENT MONITORING, THE IACS DID NOT ALARM FOR ASYSTOLE AND THE PATIENT HAD TO BE RESUSCITATED. THE PATIENT SURVIVED. THE HOSPITAL'S MEDICAL ENGINEER TESTED THE MONITOR AND THE CENTRAL MONITORING SYSTEM WITH A PATIENT SIMULATOR AND BOTH AUDIBLE AND VISUAL ALARMS WERE GIVEN. THE MEDICAL ENGINEER ASSUMES THIS WAS DUE TO A USER ERROR.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING PATIENT MONITORING, THE IACS DID NOT ALARM FOR ASYSTOLE AND THE PATIENT HAD TO BE RESUSCITATED. THE PATIENT SURVIVED. THE HOSPITAL'S MEDICAL ENGINEER TESTED THE MONITOR AND THE CENTRAL MONITORING SYSTEM WITH A PATIENT SIMULATOR AND BOTH AUDIBLE AND VISUAL ALARMS WERE GIVEN. THE MEDICAL ENGINEER ASSUMES THIS WAS DUE TO A USER ERROR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
830434 INFINITY ACUTE CARE SYSTEM (M540) PHYSIOLOGIC MONITORING SYSTEM, SINGLE-PATIENT CBK DRAEGER MEDICAL SYSTEMS, INC

Patients

Seq Age Sex Outcome Treatment
1 Life Threatening