FDA Adverse Event Malfunction Summary report: N

SPACELABS ULTRAVIEW SL2400 COMPACT MONITOR

MDR report key: 4974122 · Received August 5, 2015

Report

Report Number
3010157426-2015-00153
Event Type
Malfunction
Date Received
August 5, 2015
Date of Event
July 7, 2015
Report Date
September 23, 2015
Manufacturer
SPACELABS HEALTHCARE INC.
Product Code
MHX
PMA / PMN Number
K102422
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

SPACELABS HAS LAUNCHED AN INVESTIGATION INTO THIS EVENT AND WILL FILE A COMPLETE REPORT WHEN THE INVESTIGATION IS FINISHED.

Additional Manufacturer Narrative · 1

THE PRODUCT WAS RECEIVED AT SPACELABS¿ EQUIPMENT SERVICE CENTER FOR REPAIR. THE REPORTED PROBLEM WAS VERIFIED. THE INTEGRATED CHIP NOVRAM DS1646 COMPONENT WAS NOT FUNCTIONING; THEREFORE, THE COMPONENT WAS REPLACED. THE REPAIRED UNIT PASSED ALL FUNCTIONAL TESTS AND WAS RETURNED TO THE CUSTOMER. LACK OF A DISPLAY WAS THE WARNING SIGN THAT THE CUSTOMER NOTICED AND THAT PROMPTED THE ACTION OF REMOVING THE PRODUCT FROM USE. THIS REPORT IS COMPLETE AND THIS PARTICULAR ISSUE IS CONSIDERED CLOSED. SPACELABS MONITORS ITS COMPLAINTS FOR SIMILAR PRODUCT ISSUES TO DETERMINE NEED FOR ADDITIONAL INVESTIGATION.

Description of Event or Problem · 1

SPACELABS RECEIVED A SERVICE REPAIR REQUEST FOR INTERMITTENT DISPLAY AND REBOOT FOR BEDSIDE MONITOR MODEL 91369 WHILE IN USE ON (B)(6) 2015. NO ONE WAS INJURED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
517171 SPACELABS ULTRAVIEW SL2400 COMPACT MONITOR 2400 UVSL PATIENT MONITOR MHX SPACELABS HEALTHCARE INC. 91369

Patients

Seq Age Sex Outcome Treatment
1