inforMED
MalfunctionOMA

XLTEK BRAIN MONITOR

Received May 13, 2016 · Event occurred Mar 4, 2016

Report 5652286 · MDR key 5652286

Device

Generic name

Amplitude-integrated Electroencephalograph

Manufacturer

Natus

Product problems

  • Device Alarm System
  • Computer Software Problem

Patient

Not reported

  • Seizures
  • Seizures

Narrative

Description of Event or Problem

PATIENT WAS BEING MONITORED ON EEG FOR POTENTIAL SEIZURE ACTIVITY. THE ALARM FROM THE EEG SYSTEM DID NOT ALERT AS EXPECTED BY CLINICIANS. INVESTIGATIVE FINDINGS INDICATED THAT THE SOFTWARE THAT ELICITS THE ALARM WENT INTO A PAUSE STATE TEMPORARILY. THE SOFTWARE HAS SINCE BEEN UPDATED AND ACCORDING TO PERSYST THE PATCH SHOULD PREVENT A RE-OCCURRENCE. MANUFACTURER RESPONSE FOR EEG ACQUISITION MODULE, NA (PER SITE REPORTER): THE MANUFACTURER OF THE SOFTWARE PERSYST ANALYZED ERROR LOGS AND FINDINGS INDICATED A PROBLEM THAT THEY COULD NOT REPLICATE IN THEIR ENVIRONMENT. HOWEVER, THEY HAVE PROVIDED A PATCH TO ADDRESS THE PROBLEM