FDA Adverse Event Malfunction Summary report: N

PU-681RA

MDR report key: 24437257 · Received February 24, 2026

Report

Report Number
8030229-2026-06233
Event Type
Malfunction
Date Received
February 24, 2026
Date of Event
February 12, 2026
Report Date
May 1, 2026
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
LA, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE BIOMEDICAL ENGINEER (BME) REPORTED THAT THE 3 GZ-130PA TELEMETRY TRANSMITTERS INTERMITTENTLY DISAPPEAR FROM THE CENTRAL NURSE'S STATION (CNS) WHEN THE SPO2 CABLE IS CONNECTED TO THE GZ TELE. HE STATED THE GZ CONTINUES TO FUNCTION NORMALLY, AND THE ISSUE IS ONLY OBSERVED AT THE CNS. TWO ADDITIONAL NURSES ALSO STATED THEY HAVE EXPERIENCED THE SAME ISSUE WITH OTHER TELE UNITS. NO PATIENT HARM WAS REPORTED, AS THE NURSES REPLACED THE AFFECTED TELE UNITS WHEN THE ISSUE OCCURRED. THE BIOMED HAD THREE DIFFERENT GZ-130P UNITS DO THE SAME THING. THEY REBOOTED THE CNS AND AGAIN THE FOLLOWING DAY TWO DIFFERENT BOXES DID THE SAME THING. TELE_03 (S/N: (B)(6). APPROXIMATELY AROUND 10:00 TO 10:25 ON (B)(6) 2026 THE NURSE ADDED THE SPO2 SENSOR AND MONITORING STOPPED SHOWING ON THE CENTRAL STATION. THE BOX WAS EMPTY WITH ONLY PATIENT NAME IN IT AND THERE WERE NO MESSAGES OR COMM LOSS ERRORS." THE VITALS REAPPEAR WHEN THE SPO2 IS REMOVED. GZ-130PA SN (B)(6) PLUS TWO OR THREE OTHERS ARE EXPERIENCING THIS ISSUE. 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. TRANSMITTER MODEL: GZ-130PA SN: (B)(6) DEVICE MANUFACTURER DATE: 02/02/2021. MODEL: GZ-130PA SN: (B)(6) DEVICE MANUFACTURER DATE: 04/03/2023. MODEL: GZ-130PA SN: (B)(6) DEVICE MANUFACTURER DATE: 12/20/2023 . 2 OR 3 OTHER TELEMETRY TRANSMITTERS MODEL: NI SN: NI.

Description of Event or Problem · 0

THE BIOMEDICAL ENGINEER (BME) REPORTED THAT THE 3 GZ-130PA TELEMETRY TRANSMITTERS INTERMITTENTLY DISAPPEAR FROM THE CENTRAL NURSE'S STATION (CNS) WHEN THE SPO2 CABLE IS CONNECTED TO THE GZ TELE. HE STATED THE GZ CONTINUES TO FUNCTION NORMALLY, AND THE ISSUE IS ONLY OBSERVED AT THE CNS. TWO ADDITIONAL NURSES ALSO STATED THEY HAVE EXPERIENCED THE SAME ISSUE WITH OTHER TELE UNITS. NO PATIENT HARM WAS REPORTED, AS THE NURSES REPLACED THE AFFECTED TELE UNITS WHEN THE ISSUE OCCURRED. THE BIOMED HAD THREE DIFFERENT GZ-130P UNITS DO THE SAME THING. THEY REBOOTED THE CNS AND AGAIN THE FOLLOWING DAY TWO DIFFERENT BOXES DID THE SAME THING. TELE_03 (S/N: (B)(6). APPROXIMATELY AROUND 10:00 TO 10:25 ON (B)(6) 2026 THE NURSE ADDED THE SPO2 SENSOR AND MONITORING STOPPED SHOWING ON THE CENTRAL STATION. THE BOX WAS EMPTY WITH ONLY PATIENT NAME IN IT AND THERE WERE NO MESSAGES OR COMM LOSS ERRORS." THE VITALS REAPPEAR WHEN THE SPO2 IS REMOVED. GZ-130PA SN (B)(6) PLUS TWO OR THREE OTHERS ARE EXPERIENCING THIS ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
372128 PU-681RA CENTRAL MONITORING SYSTEM MHX NIHON KOHDEN CORPORATION PU-681RA NA 04931921131640

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown GZ-130PA SN (B)(6),| GZ-130PA SN (B)(6),| GZ-130PA SN (B)(6).