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Recall Observatory FDA recall evidence

Device product

The eCareManager system. Software intended for use in data collection, storage and clinical information management with independent bedside devices, and ancillary systems that are connected either directly or through networks. For use in a hospital environment. eCareManager allows clinicians to generate a PDF display of an order (new, change, discontinue), which is printed at the bedside and/or hospital pharmacy. This printed PDF should be reviewed by the clinician and verified by the hospital pharmacist and entered into the hospital pharmacy system.

Z-0399-2016

March 27, 2015

Class II

Product summary

Firm
Visicu, Inc.
Event
Event 70931
Status
Terminated
Classification
Class II
Quantity
43
Official record key
device-enforcement:Z-0399-2016

Official wording

Reason: A software defect may cause incorrect medication order change. If the user decides to edit the order prior to electronic signature AND selects the return to Previous Screen function, the previously selected medication is replaced with whatever medication is in the number one spot on the complete medication list. At the stage where the order is signed, the medication displayed may be incorrect.

Code information: eCareManager v3.7, 3.7.1, v3.8, and v3.9

Distribution pattern: US distribution only.

Derived failure modes

  • Device software or design

    reason.device_software_design · v1.0.0

    software defect may cause incorrect