FDA Adverse Event Malfunction Summary report: N

SPACELABS XHIBIT CENTRAL STATION

MDR report key: 6037019 · Received October 18, 2016

Report

Report Number
3010157426-2016-00154
Event Type
Malfunction
Date Received
October 18, 2016
Date of Event
September 24, 2016
Report Date
October 18, 2016
Manufacturer
SPACELABS HEALTHCARE INC.
Product Code
MHX
PMA / PMN Number
K122146
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED ISSUE HAS BEEN IDENTIFIED AS A SOFTWARE PROBLEM. SPACELABS HAS INITIATED A FIELD CORRECTIVE ACTION AND NOTIFIED THE FDA (B)(6) OF THIS ACTION ON AUGUST 25TH, 2016. (RECALL NUMBER: Z-2885-2016) WE ALSO NOTIFIED CUSTOMERS OF THIS ACTIVITY WITH A LETTER DATED AUGUST 25TH, 2016. THIS INVESTIGATION IS CONSIDERED COMPLETE AND THE ISSUE CLOSED.

Description of Event or Problem · 1

SPACELABS RECEIVED A REPORT THAT ON (B)(6) 2016 TWO TELEMETRY BEDS WENT OFFLINE FROM THE XHIBIT CENTRAL MONITOR. NO INJURY WAS REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
687759 SPACELABS XHIBIT CENTRAL STATION S-CLASS CENTRAL MONITOR MHX SPACELABS HEALTHCARE INC. 96102

Patients

Seq Age Sex Outcome Treatment
1 96280