inforMED
MalfunctionLLZ

MERGE PACS

Received Jun 30, 2026 · Event occurred Apr 24, 2026

Report 2183926-2026-00002 · MDR key 25668259

Device

Generic name

Medical Image Management And Processing System

Manufacturer

Merge Healthcare

Model number

9.4 P02

Product problems

  • Computer Software Problem

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

AN INVESTIGATION HAS BEEN COMPLETED AND THE ROOT CAUSE IS DUE TO A SOFTWARE DEFECT INTRODUCED IN MERGE PACS 9.4. ALTHOUGH THERE ARE SEVERAL VISUAL CUES TO ALERT USERS TO THE PRESENCE OF NEW IMAGES WHEN VIEWING A STUDY, UNDER HIGH-VOLUME CLINICAL WORKLOADS THERE IS A POTENTIAL RISK THAT RADIOLOGISTS MAY READ AND INTERPRET IMAGES FOR THE INCORRECT PATIENT IN THE CURRENT STUDY CONTEXT. AN IMMEDIATE WORKAROUND IS BEING DEPLOYED TO AFFECTED CUSTOMERS TO DISABLE THE FEATURE THROUGH A CONFIGURATION CHANGE, AND A SOFTWARE UPDATE IS UNDER DEVELOPMENT TO ELIMINATE THE ROOT CAUSE IN ALL AFFECTED VERSIONS.

Description of Event or Problem

ON (B)(6) 2026, MERGE HEALTHCARE TECHNICAL SUPPORT RECEIVED A COMPLAINT THAT THUMBNAIL IMAGES FROM A DIFFERENT PATIENT'S CTA STUDY WERE DISPLAYED IN THE THUMBNAIL BAR WHILE A USER WAS REVIEWING AN MR T-SPINE STUDY. THE REPORTED BEHAVIOR WAS INITIALLY INVESTIGATED AND COULD NOT BE REPRODUCED. SUBSEQUENTLY, A SECOND COMPLAINT DESCRIBING SIMILAR BEHAVIOR WAS RECEIVED ON (B)(6) 2026. FURTHER INVESTIGATION CONFIRMED THAT, UNDER CERTAIN CONDITIONS, THE SOFTWARE MAY INCORRECTLY DISPLAY THUMBNAIL IMAGES FROM A DIFFERENT PATIENT'S STUDY. THE ISSUE WAS DETERMINED TO BE A SOFTWARE MALFUNCTION. NO PATIENT INJURY OR ADVERSE CLINICAL OUTCOME WAS REPORTED.

Remedial action

  • Recall