FDA Adverse Event
Malfunction
Summary report: N
SPACELABS XPREZZON BEDSIDE MONITOR
MDR report key: 6167790
·
Received December 12, 2016
Report
- Report Number
- 3010157426-2016-00194
- Event Type
- Malfunction
- Date Received
- December 12, 2016
- Date of Event
- November 15, 2016
- Report Date
- December 12, 2016
- Manufacturer
- SPACELABS HEALTHCARE INC.
- Product Code
- MHX
- PMA / PMN Number
- K112962
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
THE PRODUCT WAS RECEIVED AT SPACELABS¿ EQUIPMENT SERVICE CENTER FOR REPAIR. THE REPORTED PROBLEM WAS VERIFIED , AND THE POWER SUPPLY PCBA AND NOVRAM WERE REPLACED. THE REPAIRED UNIT PASSED ALL FUNCTIONAL TESTS AND WAS RETURNED TO THE CUSTOMER. THIS REPORT IS COMPLETE AND THIS PARTICULAR ISSUE IS CONSIDERED CLOSED.
Description of Event or Problem · 1
SPACELABS RECEIVED A COMPLAINT THAT BEDSIDE MONITOR DISPLAYED A GREEN SCREEN AND INTERMITTENTLY SHUT OFF LASTING MORE THAN A MINUTE WHILE IN USE. NO INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 819049 | SPACELABS XPREZZON BEDSIDE MONITOR | S-CLASS MULTIPARAMETER PATIENT MONITOR | MHX | SPACELABS HEALTHCARE INC. | 91393 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |