FDA Adverse Event Malfunction Summary report: N

HEXAVUE

MDR report key: 25060666 · Received May 1, 2026

Report

Report Number
3008776287-2026-00142
Event Type
Malfunction
Date Received
May 1, 2026
Date of Event
April 2, 2026
Report Date
May 1, 2026
Manufacturer
BLACK DIAMOND VIDEO, INC.
Product Code
FTA
UDI-DI
00724995198503
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AR, 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 CABLING REQUIRED REPLACEMENT. TO RESOLVE THE ISSUE, THE TECHNICIAN REPLACED THE USB CABLING. THE TECHNICIAN TESTED THE UNIT, CONFIRMED IT TO BE OPERATING ACCORDING 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 THEY WERE UNABLE TO CONNECT TO THE TOUCH PANEL ON THEIR HEXAVUE CUSTOM ROOM RACK. NO REPORT OF INJURY OR PROCEDURE DELAY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
623266 HEXAVUE CUSTOM ROOM RACK FTA BLACK DIAMOND VIDEO, INC. HEXAVUE-SCC 1.0 (10)2.2.0 00724995198503

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown