FDA Adverse Event
Malfunction
Summary report: N
NI
MDR report key: 13015099
·
Received December 15, 2021
Report
- Report Number
- 2080783-2021-02116
- Event Type
- Malfunction
- Date Received
- December 15, 2021
- Date of Event
- November 17, 2021
- Report Date
- December 15, 2021
- Manufacturer
- NIHON KOHDEN CORPORATION
- Product Code
- MHX
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- OK, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE BIOMEDICAL ENGINEER (BME) REPORTED THAT THE CENTRAL NURSE'S STATIONS (CNSS) AND THE SECONDARY MONITORING SYSTEMS, THE REMOTE NETWORK STATIONS (RNSS), WERE SHOWING COMMUNICATION LOSS FOR THE ALL THE GZ TELEMETRY TRANSMITTERS. BY THE TIME THE BIOMED CALLED IN THE TICKET, MOST OF THE GZS WERE BACK UP, EXCEPT FOR THE 4 UNITS THAT REMAINED IN COMMUNICATION LOSS. THEY LATER STATED THAT AFTER REBOOTING THESE GZS, THEY CAME BACK OUT OF COMMUNICATION LOSS. NO PATIENT HARM WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1911620 | NI | CENTRAL MONITOR STATION | MHX | NIHON KOHDEN CORPORATION | NI | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | GZ TELEMETRY TRANSMITTER(S) |