FDA Adverse Event
Malfunction
Summary report: N
MCKESSON ARCHIVAL SYSTEM
MDR report key: 7784626
·
Received August 15, 2018
Report
- Report Number
- 7784626
- Event Type
- Malfunction
- Date Received
- August 15, 2018
- Date of Event
- January 25, 2018
- Report Date
- August 2, 2018
- Manufacturer
- MCKESSON MEDICAL IMAGING COMPANY
- Product Code
- LLZ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- FL
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
UNABLE TO LOCATE FILMS ON MCKESSON SYSTEM. PATIENT WAS DONE IN CATHETER LAB. WORK ORDER PUT INTO IS, BUT THERE WAS AN ERROR MESSAGE ON THE COMPUTER DURING THIS TIME. THE FILMS COULD NOT BE TRANSFERRED OVER UNTIL THE ERROR MESSAGE WAS CLEARED. ONCE THE ERROR MESSAGE WAS CORRECTED, THE FILMS WERE AVAILABLE. ALL FILMS FOR THIS PATIENT ARE PRESENT. THERE IS A PROCESS IN PLACE SO THAT THIS WILL NOT HAPPEN. FILMS ARE TO BE CHECKED DAILY TO BE SURE THEY HAVE TRANSFERRED OVER TO MCKESSON. ANY MISSING FILMS DUE TO ERROR MESSAGES SHOULD BE ADDRESSED IN REAL TIME. CATH LAB ASSISTANT NURSE MANAGER HUDDLED WITH TEAM MEMBERS REGARDING THIS PROCESS AND TO BE SURE THAT THEY ARE FOLLOWING IT DAILY AND WITH ALL CASES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 628870 | MCKESSON ARCHIVAL SYSTEM | SYSTEM, IMAGE PROCESSING, RADIOLOGICAL | LLZ | MCKESSON MEDICAL IMAGING COMPANY |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 11315 DA |