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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SPACELABS HEALTHCARE INC. SPACELABS XHIBIT CENTRAL STATION; XHIBIT CENTRAL MONITOR

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SPACELABS HEALTHCARE INC. SPACELABS XHIBIT CENTRAL STATION; XHIBIT CENTRAL MONITOR Back to Search Results
Model Number 96102
Device Problems Computer Software Problem (1112); Temperature Problem (3022)
Patient Problem Insufficient Information (4580)
Event Date 06/25/2021
Event Type  malfunction  
Manufacturer Narrative
The investigation error logs indicated a recommendation to replace the video card as well as a third-party dell keyboard and lenovo mouse that is not compatible with this device per the ifu.Spacelabs fse replaced the recommended components.The device passed all tests, per slhc service procedures and was returned to service.This report is considered complete, and this matter closed.
 
Event Description
On june 28th, 2021, spacelabs received a report that on the (b)(6) 2021, around midnight, xhibit central station froze on a blue screen.At 00:53, the biomedical technician forced the shutdown.Then, the central station restarted properly.The biomedical tech noticed that the central station was very hot.Spacelabs received notification that the product specialist evaluated this issue and concluded it is a risk to a patient on (b)(6) 2021.No injury was reported with this event.
 
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Brand Name
SPACELABS XHIBIT CENTRAL STATION
Type of Device
XHIBIT CENTRAL MONITOR
Manufacturer (Section D)
SPACELABS HEALTHCARE INC.
35301 se center st.
snoqualmie WA 98065
Manufacturer Contact
marc rivas
35301 se center st.
snoqualmie, WA 98065
4253635568
MDR Report Key12221881
MDR Text Key265390074
Report Number3010157426-2021-00045
Device Sequence Number1
Product Code MHX
Combination Product (y/n)Y
Reporter Country CodeFR
PMA/PMN Number
K122146
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Reporter Occupation Biomedical Engineer
Type of Report Initial
Report Date 01/01/2005,07/23/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number96102
Device Catalogue Number96102-16C
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? Yes
Date Report Sent to FDA01/01/2005
Date Report to Manufacturer01/10/2005
Initial Date Manufacturer Received 06/28/2021
Initial Date FDA Received07/23/2021
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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