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 |