The lack of feedback can probably be partially explained by the fact that few folks seem to use the PAS16 at all today, and fewer still have used it for external MIDI functionality.
For my part, the hanging note behavior was never consistent enough for it to happen in a 100% repeatable manner, but it would occur without fail during the course of either general gameplay, or even just playing MIDI files using various, DOS-based players. This is a fundamental difference compared to the MIDI issues of the SB16 MPU architecture, which only manifest during concurrent digital-audio playback.
The problem has been described as being a flaw/deficiency of the MVD101D chip itself, affecting all PAS16 variants with MPU-401 UART functionality. It's also been described as a problem without a known solution, though I suspect that just altering MIDI drivers/routines to provide for a longer or even interminable busy/wait MPU timeout might suffice (at the potential expense of gameplay slowdown).
You'd mentioned not experiencing any trouble in Windows; I'd suggest doing any testing from DOS instead. Windows' multimedia layer and even the soundcard drivers themselves will often leverage additional software MIDI buffering, which would mask the problem.
Finally, the USENET archives contain several hundred messages concerning PAS16 MIDI troubles. Here are just a few quotes:
PAS16 and Stuck Notes
"I finally got through to the Technical Support people at Media Vision
and they explained to me that if you try to send more than about 6
channels of data simultaneously through the external midi port, the
buffers will get overloaded and you will experience stuck notes on the
synthesizer."
PAS 16 "dropping" MIDI control messages?
"After many hours on the phone with Media Vision, I talked
with one of the "experts" in MIDI there. He said that it was a known
problem that the PAS-16 would occasionally drop MIDI messages when
dealing with a large amount of data (in the same way that a 16450
UART will overflow its 1-character buffer if an interrupt is missed,
occasionally the PAS-16 will drop MIDI control messages)."
PAS-16 is half-baked?
"Supporting only MPU-401 uart mode only is ok, but it occasionally
drops a byte here or there. Their reason? They really didn't expect
we would USE it... All it takes is one dropped byte to create one
stuck note and ruin the entire sequence."
Pro Audio Spectrum-MIDI?
"Well, not to tell the truth here or anything, I used to work at MV,
have LOTS of experience with the PAS16. The MIDI FIFO (buffer) on the
thing is fundamentally busted and typically results in lots of hung
notes."
Stuck Midi Notes/PAS-16
"I've also had similar problems with 'stuck notes' using the PAS-16's
external MIDI so you aren't alone. I've talked to MediaVision tech
support twice--they're aware of the problem but don't have a solution."
PAS 16 and MIDI
"I tried using PAS16 thru a Midimate(their interface). Got a lot of
hung notes (probably some missed notes as well, not as easy to hear.)
Mediavision's "midi specialist" admitted he used an MPU-401 for the
same reason."
PAS16 MidiMate Internals
"Unfortunately, the PAS 16 MIDI port simply doesn't work right. It
generates random notes that hang. After calling at least a dozen
times, I finally got someone to duplicate the problem at MV. Their
engineering department is currently investigating the problem."
Problems with PAS16 Midi connection
"The PAS-16's MIDI port is notorious for dropping MIDI events."
"This is a known problem with the chip that does the MPU401 emulation on
the PAS16 board. It will occasionally lose bytes in the midi stream
causing wrong notes, missed note ons, missed note offs, wrong velocity,
etc."
Any WaveTable daughter board??
"Media Vision produced a sound card (initially intended to be the Pro
Audio Studio XL) called the Pro Audio Spectrum 16 that had one unique
feature from all of the other Pro Audio Spectrum 16s: Wavetable DB
connectors. Unfortunately, after a massive amount of testing, it was
discovered that the Spectrum (MVD101) chipset could not properly
support these headers without the side-effect of the occaisional
hanging note."