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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Black Diamond Video, Inc. Vividimage 4K

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Black Diamond Video, Inc. Vividimage 4K Back to Search Results
Model Number RLM314K3
Medical Device Problem Code Display or Visual Feedback Problem (1184)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/30/2026
Type of Reportable Event Malfunction
Event or Problem Description
The user facility reported that the monitor on their vividimage 4k surgical display had blue and purple lines running through it causing image distortion.The event did not occur during a patient procedure.No report of injury.
 
Additional Manufacturer Narrative
A steris service technician arrived onsite following the reported event to inspect the unit and found that the monitor required a reboot.To resolve the issue, the technician rebooted the monitor, tested the unit, confirmed it to be operating according to specification, and returned it to service.No additional issues have been reported.
 
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Brand Name
Vividimage 4K
Common Device Name
Vividimage
Manufacturer (Section D)
Black Diamond Video, Inc.
503 canal blvd
richmond CA 94804
Manufacturer (Section G)
Black Diamond Video, Inc.
503 canal blvd
richmond CA 94804
Manufacturer Contact
daniel davy
5960 heisley road
mentor, OH 44060
+1(440)259-7401
MDR Report Key50484999
Report Number3008776287-2026-00603
Device Sequence Number21355689
Product Code KQM
UDI-Device Identifier00724995195113
UDI-Public(01)00724995195113(11)240501
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 08/27/2026
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
Operator of Device Health Professional
Device Model NumberRLM314K3
Device Catalogue NumberRLM314K3
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/30/2026
Initial Report FDA Received Date08/27/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/01/2024
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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