FDA Adverse Event
Malfunction
Summary report: N
HEXAVUE
MDR report key: 25116978
·
Received May 7, 2026
Report
- Report Number
- 3008776287-2026-00146
- Event Type
- Malfunction
- Date Received
- May 7, 2026
- Date of Event
- April 9, 2026
- Report Date
- May 7, 2026
- Manufacturer
- BLACK DIAMOND VIDEO, INC.
- Product Code
- KQM
- UDI-DI
- 00724995220594
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
A STERIS SERVICE TECHNICIAN ARRIVED ONSITE TO INSPECT THE HEXAVUE IP CUSTOM ROOM RACK AND WAS ABLE TO DUPLICATE THE ISSUE. FOLLOWING THE TECHNICIAN'S TROUBLESHOOTING, HE FOUND THAT THE AVC-X WAS SHUTTING DOWN CAUSING THE TOUCH PANEL ISSUE. TO RESOLVE THE ISSUE WITH THE AVC-X AND TOUCH PANEL, THE UNINTERRUPTIBLE POWER SUPPLY (UPS) WAS REPLACED. THE TECHNICIAN REPLACED THE UPS, TESTED THE FUNCTION AND OPERATION OF THE HEXAVUE IP CUSTOM ROOM RACK, CONFIRMED IT TO BE OPERATING TO SPECIFICATION, AND RETURNED THE DEVICE 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 WAS NOT DISPLAYING PROPERLY, CAUSING A DELAY OF PROCEDURE. NO REPORT OF INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 182221 | HEXAVUE | IP CUSTOM ROOM RACK | KQM | BLACK DIAMOND VIDEO, INC. | HEXAVUE IP | (10)3.2.0 | 00724995220594 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |