FDA Adverse Event Malfunction Summary report: N

SPACELABS HEALTHCARE TELEMETRY RECEIVER

MDR report key: 5345737 · Received January 5, 2016

Report

Report Number
3010157426-2016-00004
Event Type
Malfunction
Date Received
January 5, 2016
Date of Event
December 10, 2015
Report Date
April 21, 2016
Manufacturer
SPACELABS HEALTHCARE INC.
Product Code
MHX
PMA / PMN Number
K141156
Removal / Correction Number
RES73634
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
SERVICE PERSONNEL

Narratives

Additional Manufacturer Narrative · 1

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

Additional Manufacturer Narrative · 1

THE ISSUE HAS BEEN TRACED TO THE TEXAS INSTRUMENT (TI) MSP430. MICROCONTROLLER USED ON THE MODEL 96280 TELEMETRY RECEIVER QUAD RECEIVER CARD (QRC) PCBA THAT HAS AN INTERNAL HARDWARE DEFECT THAT AFFECTS THE PROPER CLOCKING OF DIGITAL DATA COMMUNICATIONS ON SOME QRC UNITS. IN ORDER TO CORRECT THIS ISSUE, A NEW VERSION OF THE TI MSP430 IS BEING IMPLEMENTED THAT INCLUDES A HARDWARE CORRECTION FOR THE CLOCKING DEFECT. SPACELABS CONSIDERS THIS MEDWATCH CLOSED. FURTHER ACTIONS AND INFORMATION WILL BE DOCUMENTED UNDER THE SPACELABS FIELD CORRECTIVE ACTION PROCESS.

Description of Event or Problem · 1

ON (B)(6) 2015, SPACELABS RECEIVED A REPORT THAT TELEMETRY XHIBIT CENTRAL WAS HAVING FORMAT AND DISPLAY ISSUES WHICH RESULTED IN THE LOSS OF PATIENT DATA DISPLAY. NO PATIENT INJURY WAS REPORTED FOR THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
3394 SPACELABS HEALTHCARE TELEMETRY RECEIVER XTR MHX SPACELABS HEALTHCARE INC. 96280

Patients

Seq Age Sex Outcome Treatment
1