MERGE EYE STATION

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 2017-01-15 for MERGE EYE STATION manufactured by Merge Healthcare.

Event Text Entries

[64920186] According to information received from the support department, the hard drives have been replaced by the manufacturer of the computer. It is unknown at this time what repairs are needed to resolve the issue. Merge healthcare continues to work with the customer to investigate the issue in order to ensure that the customer's issue is resolved.
Patient Sequence No: 1, Text Type: N, H10


[64920187] 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 (b)(6) 2016, merge healthcare received information from a customer indicating that a system was locking up. A reboot of the system corrected the lock but the system continued to lock up throughout the day. The customer requested the system be returned and repaired and requested a loaner for use in the interim. Information received on 12/21/2016, from the customer, indicates the issue impacted patient care. Additional information received on "01/06/2016" indicates the issue is ongoing, despite assistance from merge healthcare support. The customer stated the issue is becoming worse, leading to a delay in patient studies and pictures. This issue is being reported due to the potential for harm related to the delay in patient studies and pictures. Additional information regarding direct patient impact has been requested but not received. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2183926-2017-00014
MDR Report Key6252894
Report SourceHEALTH PROFESSIONAL
Date Received2017-01-15
Date of Report2016-12-16
Date of Event2016-12-16
Date Mfgr Received2016-12-21
Device Manufacturer Date2014-06-19
Date Added to Maude2017-01-15
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 HEALTCHARE
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 Received2017-01-15
Lot NumberK913929
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 2017-01-15

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