FDA Adverse Event Malfunction Summary report: N

BARCO

MDR report key: 20107071 · Received August 30, 2024

Report

Report Number
3004455125-2024-00018
Event Type
Malfunction
Date Received
August 30, 2024
Date of Event
August 7, 2024
Report Date
August 30, 2024
Manufacturer
BARCO NV
Product Code
DXJ
PMA / PMN Number
K173381
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FI
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE ROOT CAUSE IS THE BROADCAST ENABLE THAT WAS NOT SET.

Additional Manufacturer Narrative · 0

ON 21-JAN-2022, THERE WAS AN EVENT WITH BARCO'S MNA-240 DEVICE IN A HOSPITAL IN SWITZERLAND, WHEREBY THE PATIENT EXPERIENCED HARM BECAUSE OF BEING TRANSPORTED TO ANOTHER OPERATING ROOM. BARCO HAS REPORTED THIS EVENT IN REPORT NO. 3004578804-2022-00001 (MDR REPORT KEY (B)(4). SINCE THEN, IN LINE WITH THE GUIDANCE DOCUMENT 'MEDICAL DEVICE REPORTING FOR MANUFACTURERS' FROM NOVEMBER 2016, BARCO HAS CONSIDERED THE LIKELIHOOD OF HARM FROM SIMILAR INCIDENTS WITH SIMILAR DEVICES TO BE 'LIKELY' REGARDLESS OF IF THE INCIDENT ACTUALLY LED TO HARM OR NOT. HOWEVER, SINCE THE INCIDENT FROM 2022 BARCO HAS NOT RECEIVED ANY SIMILAR COMPLAINTS WITH ACTUAL HARM ANYMORE. THEREFORE, ALSO CONFORM THE SAME GUIDANCE DOCUMENT, BARCO NO LONGER CONSIDERS SIMILAR INCIDENTS TO BE LIKELY TO LEAD TO DEATH OR SERIOUS HARM. ANY RECURRENCE OF A SERIOUS INJURY OR DEATH FOR THE SAME MALFUNCTION IN THE FUTURE WILL TRIGGER THE RESUMPTION OF MANDATORY REPORTING AGAIN.

Description of Event or Problem · 0

IN SEVERAL OPERATING ROOMS THE DISPLAYS DISAPPEARED FROM THE MANAGEMENT SOFTWARE CONSOLE AND IN SOME CASES THE IMAGE ON THE DISPLAY DROPPED. THIS HAPPENED OVER A PERIOD OF SEVERAL DAYS. THE PROBLEMS WERE SOLVED BUT REAPPEARED A FEW DAYS LATER. AFTER 2 FACTORY RESETS THE ROOM WORKS FINE AGAIN WITHOUT LOSING THE DISPLAYS. IN SOME CASES THIS HAPPENED DURING SURGERY ACCORDING TO THE COMPLAINT. NO HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1911277 BARCO NEXXISOR DXJ BARCO NV NEXXISOR

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown