FDA Adverse Event Malfunction Summary report: N

XHIBIT TELEMETRY RECEIVER

MDR report key: 15671079 · Received October 25, 2022

Report

Report Number
3010157426-2022-00048
Event Type
Malfunction
Date Received
October 25, 2022
Date of Event
September 26, 2022
Report Date
September 26, 2022
Manufacturer
SPACELABS HEALTHCARE
Product Code
MHX
PMA / PMN Number
K141156
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A SPACELABS TECHNICAL SUPPORT ENGINEER EVALUATED THE XHIBIT TELEMETRY RECEIVER (XTR) LOGS AND FOUND THAT AT 13:06 ON (B)(6) 2022, XTR15 HAD REBOOTED ITSELF AFTER IT WAS UNABLE TO COMMUNICATE WITH QUAD RECEIVER CARD (QRC) 1. THERE IS NOT ENOUGH INFORMATION AVAILABLE IN THE LOG FILES TO DETERMINE THE EXACT CAUSE OF THE COMMUNICATION ISSUE BETWEEN THE XTR AND QRC. A SPACELABS FIELD SERVICE ENGINEER (FSE) EVALUATED THE SYSTEM AND WAS UNABLE TO DUPLICATE THE REPORTED ISSUE. IT WAS FOUND THAT THE QRCS WERE WORKING AS EXPECTED. AFTER OBSERVING PROPER DEVICE OPERATION THROUGH FUNCTIONAL AND PERFORMANCE TESTING, THE DEVICE WAS RETURNED TO THE CUSTOMER. AT THIS TIME, THE CAUSE OF THE REPORTED ISSUE COULD NOT BE DETERMINED.

Description of Event or Problem · 0

SPACELABS HEALTHCARE WAS NOTIFIED THAT THEIR XHIBIT TELEMETRY RECEIVER (XTR) HAD RESTARTED UNEXPECTEDLY AND BRIEFLY LOST CONNECTION WITH THE XHIBIT CENTRAL STATION. IT WAS ALSO NOTED THAT THE THERE WERE 4 TELEMETRY BEDS THAT HAD REVERTED TO THEIR DEFAULT COLOR SETTINGS, INDICATING THE SYSTEM HAD POWERED CYCLED. THERE WAS NO HARM TO THE PATIENT OR USER REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2776006 XHIBIT TELEMETRY RECEIVER TELEMETRY RECEIVER MHX SPACELABS HEALTHCARE 96280

Patients

Seq Age Sex Outcome Treatment
1 Unknown