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