In
what could have been a life-threatening situation, critical medical
equipment crashed during a heart procedure due to a scheduled anti-virus
scan on the connected PC. The device in question is Merge Hemo and was
connected to the PC to which it was sending data for logging and
monitoring.
The incident happened in February, 2016 and luckily
for the patient, the doctors patiently waited for the PC to reboot after
the scan was done, instead of panicking.
Merge Hemo is often used
by heart surgeons to supervise heart catheterization procedures, during
which doctors insert a catheter inside veins and arteries in order to
diagnose various types of heart diseases. Merge Hemo consists of two
main modules. The main component is the actual medical device, connected
to the catheters, through which data acquisition takes place. This
component is connected to a local PC or tablets via a serial port.
The
second component is a software package that runs on the doctor’s
computer or tablet and takes recorded data and logs it or displays it on
the screen via simple-to-read charts.
However, the Merge Hemo PC
app may crash like any normal software does but being an specialised
equipment, the doctors report the event. The software vendor must then
investigate and file an Adverse Event Report with the FDA (US Food and
Drug Administration).
As reported above, this case is based on one
such report filed by Merge Healthcare in February. The report states
that Merge Hemo suffered a mysterious crash right in the middle of a
heart procedure when the screen went black and doctors had to reboot
their computer.
Fortunately, the patient was sedated, and the
doctors had five minutes at their disposal to wait for the computer to
finish rebooting, start the Merge Hemo application again, and complete
their procedure without any health risks for the patient.
Based on
the report by doctors, Merge investigated and found that the crash was
attributed to the antivirus software running on the doctors’ computer.
The report says that the antivirus was configured to scan for viruses
every hour, and the scan started right in the middle of the procedure,
crashing Merge Hemo and risking a patient’s life.
Merge says the
antivirus froze access to crucial data acquired during the heart
catheterization. Unable to access real-time data, the app crashed
spectacularly.
The company said that their documentation provides
instructions for the medical authorities to whitelist Merge Hemo’s
folders in order to prevent anti-virus software from scanning it during
such difficult procedures. However, the medical staff disregarded the
documentation in this case and the resultant crash would have risked the
patient’s life
Comments
Post a Comment