FDA Adverse Event Malfunction Summary report: N

CNS-6801A

MDR report key: 11996803 · Received June 14, 2021

Report

Report Number
2080783-2021-00338
Event Type
Malfunction
Date Received
June 14, 2021
Date of Event
May 15, 2021
Report Date
June 14, 2021
Manufacturer
NIHON KOHDEN CORPORATION
Product Code
MHX
UDI-DI
04931921131640
Product Problem
Yes
Report Source
Distributor report
Reporter Location
CA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 0

THE NURSE REPORTED THAT THEY ARE EXPERIENCING A COMMUNICATION LOSS WITH A CENTRAL NURSE'S STATION (CNS) IN EAST AND 5 WEST. THEY STATED THERE IS CONSTRUCTION GOING ON WHICH KNOCKED OUT POWER TO NK DEVICES AND OTHER (B)(6) OWNED EQUIPMENT EARLIER IN THE DAY. POWER WAS RESTORED, BUT CNS IN 5 EAST IS IN COMM LOSS. NIHON KOHDEN STAFF ON SITE AND DEEMED THAT THE SWITCHES WERE NON FUNCTIONAL AND OPENED A TICKET WITH (B)(6). NK STAFF WORKED ON GETTING THE CONFIGURATION DONE FOR THE SWITCHES AND HEADED BACK ON SITE. THEY REPLACED THE SWITCHES, AND EVERYTHING WAS BACK UP RUNNING. DEAD SWITCHES WILL BE SENT BACK TO JUNIPER FOR INVESTIGATION. THE CNS ITSELF WAS NOT RETURNED, BUT THE SWITCHES USED WITH THE NETWORK WERE RETURNED. NO PATIENT HARM WAS REPORTED.

Description of Event or Problem · 0

THE NURSE REPORTED THAT THEY ARE EXPERIENCING A COMMUNICATION LOSS WITH A CENTRAL NURSE'S STATION (CNS) IN EAST AND 5 WEST. THEY STATED THERE IS CONSTRUCTION GOING ON WHICH KNOCKED OUT POWER TO NK DEVICES AND OTHER (B)(6) OWNED EQUIPMENT EARLIER IN THE DAY. POWER WAS RESTORED, BUT CNS IN 5 EAST IS IN COMM LOSS. NIHON KOHDEN STAFF ON SITE AND DEEMED THAT THE SWITCHES WERE NON FUNCTIONAL AND OPENED A TICKET WITH (B)(6). NK STAFF WORKED ON GETTING THE CONFIGURATION DONE FOR THE SWITCHES AND HEADED BACK ON SITE. THEY REPLACED THE SWITCHES, AND EVERYTHING WAS BACK UP RUNNING. DEAD SWITCHES WILL BE SENT BACK TO JUNIPER FOR INVESTIGATION. THE CNS ITSELF WAS NOT RETURNED, BUT THE SWITCHES USED WITH THE NETWORK WERE RETURNED. NO PATIENT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
892776 CNS-6801A CENTRAL MONITOR SYSTEM MHX NIHON KOHDEN CORPORATION CNS-6801A NA 04931921131640

Patients

Seq Age Sex Outcome Treatment
1 TELEMETRY TRANSMITTER(S)