FDA Adverse Event Malfunction Summary report: N

VIVIDIMAGE D HD

MDR report key: 25008506 · Received April 27, 2026

Report

Report Number
3008776287-2026-00128
Event Type
Malfunction
Date Received
April 27, 2026
Date of Event
November 29, 2023
Report Date
April 27, 2026
Manufacturer
BLACK DIAMOND VIDEO, INC.
Product Code
KQM
UDI-DI
00724995195069
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SD, 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 VIVIDIMAGE D HD SURGICAL DISPLAY AND FOUND THAT THE POWER DISTRIBUTION BOARD WAS NOT WORKING PROPERLY. THE TECHNICIAN ADJUSTED THE POWER DISTRIBUTION BOARD, TESTED THE FUNCTION AND OPERATION OF THE UNIT, CONFIRMED IT TO BE OPERATING TO SPECIFICATION, AND RETURNED THE UNIT TO SERVICE. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.

Description of Event or Problem · 0

THE USER FACILITY REPORTED THAT THEIR VIVIDIMAGE D HD SURGICAL DISPLAY MONITOR WAS FLICKERING. NO REPORT OF INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
54735 VIVIDIMAGE D HD SURGICAL DISPLAY KQM BLACK DIAMOND VIDEO, INC. RLM27HD2 00724995195069

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown