FDA Adverse Event Malfunction Summary report: N

CNS-6801A

MDR report key: 13057101 · Received December 21, 2021

Report

Report Number
8030229-2021-02251
Event Type
Malfunction
Date Received
December 21, 2021
Date of Event
November 22, 2021
Report Date
August 28, 2023
Manufacturer
NIHON KOHDEN CORPORATION
Product Code
MHX
UDI-DI
04931921131640
PMA / PMN Number
K102376
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

NIHON KOHDEN CONTINUES TO INVESTIGATE THE REPORTED EVENT. NIHON KOHDEN WILL SUBMIT A SUPPLEMENTAL REPORT IN ACCORDANCE WITH 21 CFR SECTION 803.56 WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE.

Additional Manufacturer Narrative · 0

DETAILS OF COMPLAINT: THE CUSTOMER REPORTED THAT THE CENTRAL NURSE'S STATION (CNS) WAS DISPLAYING AN "HDD 2 ERROR" MESSAGE. NO PATIENT HARM WAS REPORTED. INVESTIGATION SUMMARY: PER TN-1270 FOR PU-621R AND PU-681R, THE HDD PORT ERROR MESSAGE ON THE CNS OCCURS WHEN THE OPERATION HOURS OF THE HDD EXCEED 20,000 HOURS. AN HDD PORT ERROR MESSAGE PROMPTS THE USER TO CHECK THE CONDITION OF THE HDDS WHEN IT HAS EXCEEDED 20,000 HOURS OF RUNTIME. USERS MAY REPLACE THE HDDS OR MAY CONTINUE TO USE THE HDD AFTER THE INSPECTION OF THE CONDITION OF THE HDD. FAILURE TO REPLACE THE HDD OR INSPECT THE HDD MAY LEAD TO HDD FAILURE. TO MITIGATE THE RISKS FROM HDD FAILURES, THE CNS IS DESIGNED WITH REDUNDANT ARRAY OF INDEPENDENT DISKS (RAID), SO THAT IF ONE HDD FAILS, ANOTHER HDD CAN TAKE OVER. THE MANUFACTURER ALSO PROVIDED ALL SITES WITH A ".BAT" FILE SOFTWARE PATCH WHICH HELPS RECOGNIZE HARD DISK DRIVE FAILURES AND PROVIDES A WARNING MESSAGE WHEN A HARD DRIVE BEGINS TO FAIL. THE MANUFACTURING PROCESS WAS ALSO UPDATED TO INCORPORATE THE ".BAT" FILE FUNCTION. THE OPERATOR'S MANUAL, AS WELL AS LABELING FOR VARIOUS GENERATIONS OF THE CNS RECOMMEND PERIODIC MAINTENANCE OR REPLACEMENT OF HARD DISK DRIVES. HDD PORT ERROR MESSAGES ARE NOT AN INDICATION OF DEVICE FAILURE. ATTEMPT #1 12/08/2021 CALLED CUSTOMER VIA THE PROVIDED TELEPHONE NUMNER FOR ALL ITEMS UNDER THE NO INFORMATION SECTION. NO REPLY WAS RECEIVED. ATTEMPT #2 12/12/2021 CALLED CUSTOMER VIA THE PROVIDED TELEPHONE NUMBER FOR ALL ITEMS UNDER THE NO INFORMATION SECTION. NO REPLY WAS RECEIVED. ATTEMPT #3 12/21/2021 CALLED CUSTOMER VIA THE PROVIDED TELEPHONE NUMNER FOR ALL ITEMS UNDER THE NO INFORMATION SECTION. NO REPLY WAS RECEIVED. ADDITIONAL INFORMATION: B4 DATE OF THIS REPORT. D8 WAS THIS DEVICE SERVICED BY A THIRD PARTY? G3 DATE RECEIVED BY MANUFACTURER. G6 TYPE OF REPORT. H2 IF FOLLOW-UP, WHAT TYPE? H6 EVENT PROBLEM AND EVALUATION CODES. H10 ADDITIONAL MANUFACTURER NARRATIVE.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THEIR CENTRAL NURSE'S STATION (CNS) IS DISPLAYING AN "HDD 2 ERROR". NO HARM OR INJURY WAS REPORTED. THEY WILL BE SENDING THIS UNIT IN FOR AN EXCHANGE.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THE CENTRAL NURSE'S STATION (CNS) WAS DISPLAYING AN "HDD 2 ERROR" MESSAGE. NO HARM OR INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1949637 CNS-6801A CENTRAL MONITOR SYSTEM MHX NIHON KOHDEN CORPORATION CNS-6801A NA 04931921131640

Patients

Seq Age Sex Outcome Treatment
1 Unknown