FDA Adverse Event
Malfunction
Summary report: N
HEXAVUE
MDR report key: 24965172
·
Received April 23, 2026
Report
- Report Number
- 3008776287-2026-00123
- Event Type
- Malfunction
- Date Received
- April 23, 2026
- Date of Event
- March 26, 2026
- Report Date
- April 23, 2026
- Manufacturer
- BLACK DIAMOND VIDEO, INC.
- Product Code
- KQM
- UDI-DI
- 00724995220594
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
A STERIS SERVICE TECHNICIAN ARRIVED ONSITE FOLLOWING THE REPORTED EVENT TO INSPECT THE UNIT AND FOUND THAT THE USB-X OF THE RACK WAS NOT OPERATING PROPERLY. TO RESOLVE THE ISSUE, THE TECHNICIAN REPLACED THE TOUCH PANEL. THE UNIT WAS TESTED, CONFIRMED TO BE OPERATING ACCORDING TO SPECIFICATION, AND RETURNED TO SERVICE. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.
Description of Event or Problem · 0
THE USER FACILITY REPORTED THAT DURING A PATIENT PROCEDURE THE TOUCH PANEL TO THEIR HEXAVUE IP CUSTOM ROOM RACK WAS NOT RESPONDING. THE PROCEDURE WAS COMPLETED SUCCESSFULLY FOLLOWING A SHORT DELAY. NO REPORT OF INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 625982 | HEXAVUE | CUSTOM ROOM RACK | KQM | BLACK DIAMOND VIDEO, INC. | HEXAVUE IP | (10)2.2.0 | 00724995220594 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |