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 2017-10-07 for MERGE EYE STATION MERGE EYE STATION V11.5 manufactured by Merge Healthcare.

Event Text Entries

[89859493] Once the drive was repaired by dell the device was able to operate as expected. The customer's issue has been resolved.
Patient Sequence No: 1, Text Type: N, H10


[89859494] 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) 2017, merge healthcare received information from an account regarding an eye station that would not boot. Merge healthcare technical support attempted to resolve the customer's issue but the customer's pc was not responding as expected. The customer needed to contact dell support to replace a drive that failed. After the drive was replaced, merge eye station support endured that the device was operating as expected. The customer reported that their issue was resolved. Additional information was received from the customer on (b)(6) 2017 that indicated patients had to be rescheduled due to the inability to boot the eye station computer. This issue is being reported due to the potential for harm related to the delay in the inability of the eye care professional to obtain the necessary information for procedures in a timely manner. The customer has not reported that any patient harm occurred as a result of this issue. Reference complaint number (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2183926-2017-00190
MDR Report Key6927808
Report SourceHEALTH PROFESSIONAL
Date Received2017-10-07
Date of Report2017-09-07
Date of Event2017-09-07
Date Mfgr Received2017-09-27
Date Added to Maude2017-10-07
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 ContactMS. MEG MUCHA
Manufacturer Street900 WALNUT RIDGE DRIVE
Manufacturer CityHARLTAND, WI 53029
Manufacturer CountryUS
Manufacturer Postal53029
Manufacturer Phone2629123514
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 Received2017-10-07
Model NumberMERGE EYE STATION V11.5
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMERGE HEALTHCARE
Manufacturer Address900 WALNUT RIDGE DRIVE HARLTAND, WI 53029 US 53029


Patients

Patient NumberTreatmentOutcomeDate
10 2017-10-07

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