INSTRUMENT MANAGER SOFTWARE 8.12.12

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-08-25 for INSTRUMENT MANAGER SOFTWARE 8.12.12 manufactured by Data Innovations Llc.

Event Text Entries

[83876386] Customer reported an issue where a rule was changing the result of microalbumin. If the instrument passed instrument manager a result which was outside of the instrument's reporting range (ex: ">200") the rule was changing the result to "<5". The rule was written incorrectly due to the omission of an "is numeric" qualifier. The rule was in place for over 8 years. At this time, no patient safety issues have been reported, but due to the length of time the incorrect rule was in place, data innovations is reporting the issue while further investigation takes place to identify if patient harm occurred.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1225673-2017-00002
MDR Report Key6822179
Date Received2017-08-25
Date of Report2017-10-23
Date of Event2017-07-25
Date Mfgr Received2017-07-25
Device Manufacturer Date2013-12-11
Date Added to Maude2017-08-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR DAVID RUSSO
Manufacturer Street120 KIMBALL AVE SUITE 100
Manufacturer CitySOUTH BURLINGTON VT 05403
Manufacturer CountryUS
Manufacturer Postal05403
Manufacturer Phone8026582850
Manufacturer G1DATA INNOVATIONS LLC
Manufacturer Street120 KIMBALL AVE SUITE 100
Manufacturer CitySOUTH BURLINGTON VT 05403
Manufacturer CountryUS
Manufacturer Postal Code05403
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameINSTRUMENT MANAGER SOFTWARE
Generic NameSOFTWARE, BLOOD BANK, STAND ALONE
Product CodeMMH
Date Received2017-08-25
Model Number8.12.12
OperatorMEDICAL TECHNOLOGIST
Device AvailabilityN
Device Age4 YR
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerDATA INNOVATIONS LLC
Manufacturer Address120 KIMBALL AVE SUITE 100 SOUTH BURLINGTON VT 05403 US 05403


Patients

Patient NumberTreatmentOutcomeDate
10 2017-08-25

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