FDA Adverse Event Malfunction Summary report: N

GZ-120P

MDR report key: 23051588 · Received September 15, 2025

Report

Report Number
8030229-2025-05480
Event Type
Malfunction
Date Received
September 15, 2025
Date of Event
August 18, 2025
Report Date
December 11, 2025
Manufacturer
NIHON KOHDEN CORPORATION
Product Code
MHX
UDI-DI
04931921117392
PMA / PMN Number
K163459
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE BIOMEDICAL ENGINEER (BME) REPORTED THAT THE CENTRAL NURSE STATION (CNS, SN: (B)(6) WAS NOT ALARMING AUDIBLY WHEN THE GZ TRANSMITTER (SN: (B)(6) HAD A LOW BATTERY. THE 'CHANGE BATTERY' OPTION WAS DISPLAYED IN BLUE WITH A YELLOW WARNING, BUT THERE WAS NO ACCOMPANYING SOUND. THE ISSUE WAS DISCOVERED DURING TESTING. NOT IN PATIENT USE. 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 DEVICE INFORMATION: D10 CONCOMITANT MEDICAL DEVICE: THE FOLLOWING DEVICE WAS USED IN CONJUNCTION WITH THE GZ TRANSMITTER: CENTRAL NURSE'S STATION (CNS): MODEL #: PU-621R, SERIAL #: (B)(6), DEVICE MANUFACTURER DATA: 04/23/2015, UNIQUE IDENTIFIER (UDI) #: (B)(4), RETURNED TO NIHON KOHDEN: NA.

Additional Manufacturer Narrative · 0

DETAILS OF COMPLAINT: THE BIOMEDICAL ENGINEER (BME) REPORTED THAT THE CENTRAL NURSE STATION (CNS, SN: (B)(6) WAS NOT ALARMING AUDIBLY WHEN THE GZ TRANSMITTER (SN: (B)(6) HAD A LOW BATTERY. THE 'CHANGE BATTERY' OPTION WAS DISPLAYED IN BLUE WITH A YELLOW WARNING, BUT THERE WAS NO ACCOMPANYING SOUND. THE ISSUE WAS DISCOVERED DURING TESTING. NOT IN PATIENT USE. FOR REMEDIAL TROUBLESHOOTING, NIHON KOHDEN TECHNICAL SUPPORT ADVISED THE BME TO STOP MONITORING THE GZ THROUGH THE CNS AND START AGAIN AND DISABLE THE HI-Q VIEW OPTION ON THE UNIT. THE BME PLANNED TO KEEP THE UNIT UNDER OBSERVATION AND FOLLOW UP WITH NIHON KOHDEN. INVESTIGATION SUMMARY: MULTIPLE ATTEMPTS WERE MADE TO COLLECT ADDITIONAL INFORMATION, BUT THERE HAS BEEN NO RESPONSE FROM THE CUSTOMER. AS SUCH, A DEFINITIVE ROOT CAUSE CANNOT BE ESTABLISHED. FROM THE DESCRIPTION OF EVENTS AND TROUBLESHOOTING, THE MOST LIKELY EXPLANATION IS TRANSIENT SOFTWARE MALFUNCTION OR SOFTWARE SETTINGS. A REVIEW OF THE DEVICE'S COMPLAINT HISTORY BY SERIAL NUMBER REVEALS NO COMPARABLE ISSUES. SIMILARLY, A REVIEW OF THE FACILITY'S COMPLAINT HISTORY DOES NOT REVEAL SIMILAR ISSUES THAT WOULD CONSTITUTE A TREND. NIHON KOHDEN WILL CONTINUE TO TREND AND MONITOR. ADDITIONAL DEVICE INFORMATION: D10 CONCOMITANT MEDICAL DEVICE: THE FOLLOWING DEVICE WAS USED IN CONJUNCTION WITH THE GZ TRANSMITTER: CENTRAL NURSE'S STATION (CNS): MODEL #: PU-621R SERIAL #: (B)(6). DEVICE MANUFACTURER DATA: 04/23/2015 UNIQUE IDENTIFIER (UDI) #: (B)(4). RETURNED TO NIHON KOHDEN: NA ADDITIONAL INFORMATION: B4 DATE OF THIS REPORT G3 DATE RECEIVED BY MANUFACTURER G6 TYPE OF REPORT H2 IF FOLLOW-UP, WHAT TYPE? H4 DEVICE MANUFACTURER DATE H6 EVENT PROBLEM AND EVALUATION CODES H11 ADDITIONAL MANUFACTURER NARRATIVE.

Description of Event or Problem · 0

THE BIOMEDICAL ENGINEER (BME) REPORTED THAT THE CENTRAL NURSE STATION (CNS, SN: (B)(6) WAS NOT ALARMING AUDIBLY WHEN THE GZ TRANSMITTER (SN: (B)(6) HAD A LOW BATTERY. NOT IN PATIENT USE.

Description of Event or Problem · 0

THE BIOMEDICAL ENGINEER (BME) REPORTED THAT THE CENTRAL NURSE STATION (CNS, SN: (B)(6) WAS NOT ALARMING AUDIBLY WHEN THE GZ TRANSMITTER (SN: (B)(6) HAD A LOW BATTERY. NOT IN PATIENT USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2519251 GZ-120P TELEMETRY TRANSMITTER MHX NIHON KOHDEN CORPORATION GZ-120P NA 04931921117392

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown CNS