HORIZON MEDICAL IMAGING
Received May 13, 2008 · Event occurred Dec 31, 2007
Report 8022257-2008-00002 · MDR key 1047320
Device
Generic name
Picture Archiving And Communication Sys
Manufacturer
Mckesson Medical Imaging CompanyModel number
HMI11.0.XProduct problems
- Display or Visual Feedback Problem
Patient
Not reported
- Unknown (for use when the patient's condition is not known)
Narrative
Description of Event or Problem
WHEN ACCESSING MEDICAL IMAGES FOR A PARTICULAR PT, IMAGES FOR A DIFFERENT PT WERE DISPLAYED.
Additional Manufacturer Narrative
MCKESSON MEDICAL IMAGING COMPANY ENGINEERING EXAMINATION REVEALED A RARE SITUATION ON HORIZON MEDICAL IMAGING 11.0.X SOFTWARE WITH HIERARCHICAL STORAGE MANAGEMENT ON WHICH TWO STUDIES SHARE THE SAME DESTINATION LOCATION, BAG AND SERIES. THE PROBLEM WAS CAUSED BY A HUMAN ERROR IN CONFIGURING THE ARCHIVE CONFIGURATION FILE MAKING TWO DEVICES SHARE THE SAME DESTINATION LOCATION. THE MCKESSON PRODUCTS THAT COULD BE AFFECTED ARE THE FOLLOWING HORIZON MEDICAL IMAGING VERSION: WITH HIERARCHICAL STORAGE MANAGEMENT (HSM). SINCE 2008, MCKESSON CUSTOMER SUPPORT HAS BEEN EXAMINING CUSTOMERS SITE'S CONFIGURATION SETTINGS AND, IF MISCONFIGURATION IS DETECTED, REVISING THEM TO ELIMINATE THE PROBLEM.
Remedial action
- Replace