FDA Adverse Event Death Summary report: N

MCKESSON CARDIOLOGY HEMO

MDR report key: 7488292 · Received May 4, 2018

Report

Report Number
9616760-2018-00001
Event Type
Death
Date Received
May 4, 2018
Date of Event
March 8, 2018
Report Date
May 4, 2018
Manufacturer
CHANGE HEALTHCARE ISRAEL LTD.
Product Code
DQK
UDI-DI
80010939050027
PMA / PMN Number
K131497
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

REVIEWS OF THE SYSTEM LOGS CONCLUDED THAT THE ALARMS WERE DISABLED BY THE USER. DISABLING OF THE ALARMS IS AN OPTIONAL USER FEATURE OF THE MCKESSON CARDIOLOGY HEMO APPLICATION. THE DEVICE OPERATED AS INTENDED AND DESIGNED WITH NO EVIDENCE OF A MALFUNCTION.

Description of Event or Problem · 1

THE REPORTING FACILITY CONTACTED CHANGE HEALTHCARE TO ASSIST IN AN INVESTIGATION INTO MCKESSON CARDIOLOGY HEMO - PHYSIOLOGICAL ALARMS DEACTIVATION INVOLVING A PATIENT DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
328634 MCKESSON CARDIOLOGY HEMO MCKESSON CARDIOLOGY HEMO DQK CHANGE HEALTHCARE ISRAEL LTD. 14.0 80010939050027

Patients

Seq Age Sex Outcome Treatment
1 Death