FDA Adverse Event Malfunction Summary report: N

PU-681RA

MDR report key: 22366317 · Received June 30, 2025

Report

Report Number
8030229-2025-05012
Event Type
Malfunction
Date Received
June 30, 2025
Date of Event
June 2, 2025
Report Date
September 16, 2025
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
GA, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE CUSTOMER REPORTED THAT THIS CENTRAL NURSE'S STATION (CNS) DISPLAYED A B4 ERROR CODE MESSAGE. ACCORDING TO THE CUSTOMER, THE UNIT WILL NOT BOOT WITH THE ALARM INDICATOR PLUGGED IN. THIS ISSUE WAS FIRST REPORTED UNDER TICKET (B)(4) AND THE ISSUE WAS BELIEVED TO BE RESOLVED. PER THE CUSTOMER, IN ORDER TO GET THE UNIT TO BOOT UP, THEY NEED TO UNPLUG THE ALARM INDICATOR, LET IT BOOT THEN PLUG IT BACK IN FOR NORMAL OPERATION. THE CUSTOMER STATED THAT THIS IS NOT ACCEPTABLE AS THERE'S SOME KIND OF POWER FAILURE OR UNSCHEDULED REBOOT WHEN BIOMED IS NOT THERE. THE CUSTOMER WANTS THE UNIT EVALUATED. THERE WAS NO PATIENT INJURY REPORTED. 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 THIS CENTRAL NURSE'S STATION (CNS) DISPLAYED A B4 ERROR CODE MESSAGE. ACCORDING TO THE CUSTOMER, THE UNIT WILL NOT BOOT WITH THE ALARM INDICATOR PLUGGED IN. THIS ISSUE WAS FIRST REPORTED UNDER TICKET 234063 AND THE ISSUE WAS BELIEVED TO BE RESOLVED. PER THE CUSTOMER, IN ORDER TO GET THE UNIT TO BOOT UP, THEY NEED TO UNPLUG THE ALARM INDICATOR, LET IT BOOT THEN PLUG IT BACK IN FOR NORMAL OPERATION. THE CUSTOMER STATED THAT THIS IS NOT ACCEPTABLE AS THERE'S SOME KIND OF POWER FAILURE OR UNSCHEDULED REBOOT WHEN BIOMED IS NOT THERE. THE CUSTOMER WANTS THE UNIT EVALUATED. THERE WAS NO PATIENT INJURY REPORTED. INVESTIGATION SUMMARY: THE DEVICE WAS RETURNED AND EVALUATED. DURING THE EVALUATION OF THE DEVICE, THE UNIT WAS REBOOTED SEVERAL TIMES WITH PROPER ALARM INDICATOR CONNECTED AND THE REPORTED ISSUE COULD NOT BE DUPLICATED. THE FOLLOWING FIELD(S) CONTAIN NO INFORMATION (NI), AS ATTEMPTS TO OBTAIN THE INFORMATION WERE MADE, BUT NOT PROVIDED: D10 ATTEMPT # 1: 06/19/2025 EMAILED THE CUSTOMER VIA MICROSOFT OUTLOOK FOR ALL INFORMATION IN THE NI LIST ABOVE: NO REPLY WAS RECEIVED. ATTEMPT # 2: 06/23/2025 I CALLED (B)(6) TO GET MODEL AND SERIAL NUMBERS OF ANY DEVICE(S) THE REPORTED DEVICE WAS CONNECTED OR RELATED TO. A MESSAGE WAS LEFT FOR (B)(6) TO CALL ME BACK WITH THIS INFORMATION. ATTEMPT # 3: 06/25/2025 I CALLED (B)(6) TO GET MODEL AND SERIAL NUMBERS OF ANY DEVICE(S) THE REPORTED DEVICE WAS CONNECTED OR RELATED TO. A MESSAGE WAS LEFT FOR (B)(6) TO CALL ME BACK WITH THIS INFORMATION.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THIS CENTRAL NURSE'S STATION (CNS) DISPLAYED A B4 ERROR CODE MESSAGE. THERE WAS NO PATIENT INJURY REPORTED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THIS CENTRAL NURSE'S STATION (CNS) DISPLAYED A B4 ERROR CODE MESSAGE. THERE WAS NO PATIENT INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1130426 PU-681RA CENTRAL MONITORING SYSTEM MHX NIHON KOHDEN CORPORATION PU-681RA NA 04931921131640

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown