MAUDE Adverse Event Report: MERGE HEALTHCARE MERGE UNITY PACS; PICTURE ARCHIVING AND COMMUNICATIONS SYSTEM

Model Number UNITY PACS R11.1.1.1

Device Problem Computer Software Problem (1112)

Patient Problem No Known Impact Or Consequence To Patient (2692)

Event Type  malfunction  

Manufacturer Narrative

This investigation is ongoing and not yet complete.

Event Description

Merge unity pacs a medical image and information management system that is used for viewing, selection, processing, printing, telecommunications, and media interchange of medical images from a variety of diagnostic imaging systems.On 08/18/2016, merge was notified that on an unknown date, uploading a report would cause the dominator stations to crash.There was no reported adverse event to a patient.However, the station crashing while uploading a report has the potential to delay patient treatment and/or diagnosis, if the report does not fully upload to the server before the station crashes.The report may need to be re-dictated if the report is not recoverable.(b)(4).

Manufacturer Narrative

Testing and investigation determined that when the application was waiting for a long-running operation (such as a database operation) in the foreground and the background report upload tasks were completed before the universal manager message pump returned to processing, this caused the staton to crash.This issue was resolved in release 11.1.1.2, where the report upload system no longer attempts to read from the task memory if the task is not associated with an active job.

• Brand Name: MERGE UNITY PACS
• Type of Device: PICTURE ARCHIVING AND COMMUNICATIONS SYSTEM
• Manufacturer (Section D): MERGE HEALTHCARE; 900 walnut ridge drive; hartland WI 53029
• MDR Report Key: 5959177
• MDR Text Key: 54997891
• Report Number: 2183926-2016-00729
• Device Sequence Number: 1
• Product Code: LLZ
• Combination Product (y/n): N
• PMA/PMN Number: K041935
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: user facility
• Type of Report: Initial,Followup
• Report Date: 08/18/2016

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 09/18/2016
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: UNITY PACS R11.1.1.1
• Was Device Available for Evaluation?: Yes
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 02/16/2018
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1