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