MERGE EYE STATION MERGE EYE STATION V11.5

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2016-10-26 for MERGE EYE STATION MERGE EYE STATION V11.5 manufactured by Merge Healthcare.

Event Text Entries

[58459244] On 10/06/2016, the customer reported that once the archiving issue did not resolve the inability to capture images, the account purchased a usb card. A new usb card did not resolve the issue. At this time, merge healthcare has shipped the customer additional hardware components in an attempt to resolve the issue. According to the customer, their system is twelve(12) years old. The system has a new camera and is operating on an updated operating system. Additional information has been requested from the customer but has not been received regarding the resolution. Merge healthcare continues to work with the customer in an attempt to resolve their issue.
Patient Sequence No: 1, Text Type: N, H10


[58459245] Merge eye station is intended to be used in conjunction with existing ophthalmic fundus cameras to take images of the eye, perform fluorescein angiography, red free, color and icg still-image photography as well as video imaging. On 09/27/2016, merge healthcare was notified by a customer that images could not be captured on an eye station. Merge healthcare support investigated the customer's allegation and found that patient records had not been archived, leading to problems with memory which impacts the ability to capture images. However, the customer reported that even after records were archived their issue was not resolved. Merge healthcare continues to work with the customer to resolve their issue. On 10/06/2016, the customer reported that because the system has been unable to capture images, patients were rescheduled to a later date, leading to a possible delay in diagnosis and/or treatment. No direct patient harm has been reported at this time. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2183926-2016-00765
MDR Report Key6059485
Report SourceHEALTH PROFESSIONAL
Date Received2016-10-26
Date of Report2016-09-27
Date of Event2016-09-27
Date Mfgr Received2016-10-06
Device Manufacturer Date2014-12-15
Date Added to Maude2016-10-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. MICHAEL DIEDRICK
Manufacturer Street900 WALNUT RIDGE DRIVE
Manufacturer CityHARTLAND, WI 53029
Manufacturer CountryUS
Manufacturer Postal53029
Manufacturer Phone2629123570
Manufacturer G1MERGE HEALTHCARE
Manufacturer Street900 WALNUT RIDGE DRIVE
Manufacturer CityHARTLAND, WI 53029
Manufacturer CountryUS
Manufacturer Postal Code53029
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMERGE EYE STATION
Generic NameCAMERA, OPHTHALMIC, AC-POWERED
Product CodeHKI
Date Received2016-10-26
Model NumberMERGE EYE STATION V11.5
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMERGE HEALTHCARE
Manufacturer Address900 WALNUT RIDGE DRIVE HARTLAND, WI 53029 US 53029


Patients

Patient NumberTreatmentOutcomeDate
10 2016-10-26

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