MAUDE MDR 7051209

MDR report key
7051209
Report number
2183926-2017-00205
Event key
0
Event type
3
Date of event
2017-10-25
Date received
2017-11-21
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MEG MUCHA
Address
900 WALNUT RIDGE DRIVE HARTLAND WI 53029 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1MERGE EYE STATIONCAMERA, OPHTHALMIC, AC-POWEREDMERGE HEALTHCAREHKIMERGE EYE STATION 11.3.2R Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12017-11-210

Event Narratives#

N

Patient 1

TECHNICAL SUPPORT FOUND THE ISSUE OCCURRED BECAUSE THE CLIENT HAD SOME IMAGES UNDER DEVELOPMENT AND THESE IMAGES WERE UNABLE TO BE REDEVELOPED. IT WAS DETERMINED THAT IMAGES 9-46 IN THE PROCEDURE COULD NOT BE REDEVELOPED. THIS ISSUE WAS LIKELY CAUSED BY A LACK OF RESOURCES ON THE COMPUTER DUE TO AN ANTI-VIRUS SCAN. THE CLIENT REPORTED THAT THIS HAS NOT HAPPENED SINCE OR BEFORE. MERGE HEALTHCARE TECHNICAL SUPPORT WORKED WITH THE CUSTOMER TO ENSURE THAT THEIR SYSTEM WAS CONFIGURED TO RECOGNIZE MERGE EYE STATION FILES & CAPTURED IMAGES AS SAFE FILES FROM AN ANTI-VIRUS/SECURITY STANDPOINT. THE CUSTOMER'S OPERATING SYSTEM WITH MICROSOFT SECURITY ESSENTIALS DID NOT HAVE THE NECESSARY CONFIGURATION TO EXCLUDE MERGE EYE STATION FILES FROM ANTI-VIRUS SCANS & DELETIONS. THERE HAVE BEEN NO FURTHER REPORTS OF ISSUES AND THE ISSUE APPEARS TO HAVE BEEN RESOLVED. THIS IS A KNOWN ISSUE PER RECALL 2183926-02/15/2016-061-C. Z-1828-2017 RES 76844.

D

Patient 1

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 LOST IMAGES. THE CUSTOMER ALLEGED THAT EYE STATION IMAGES WERE LOST. WHEN QUESTIONED IF THE IMAGES WERE PERMANENTLY LOST, THE ACCOUNT INDICATED THE IMAGES WERE PERMANENTLY UNAVAILABLE. THE PATIENT WITH AFFECTED/LOST IMAGES HAD TO BE BROUGHT IN ON ANOTHER DAY FOR RETESTING. TECHNICAL SUPPORT FOUND THE ISSUE OCCURRED BECAUSE THE CLIENT HAD SOME IMAGES UNDER DEVELOPMENT AND THESE IMAGES WERE UNABLE TO BE REDEVELOPED. AS A RESULT, SOME OF THE IMAGES TAKEN DURING THE PATIENT'S SCANNING SESSION WERE UNRECOVERABLE. THIS ISSUE IS BEING REPORTED DUE TO THE POTENTIAL FOR HARM RELATED TO THE INABILITY OF THE EYE CARE PROFESSIONAL TO OBTAIN THE NECESSARY INFORMATION FOR PROCEDURES, IN A TIMELY MANNER. NO PATIENT HARM OCCURRED AS A RESULT OF THIS ISSUE. (B)(4).