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