FDA Adverse Event Malfunction Summary report: N

GZ-130P

MDR report key: 24839596 · Received April 10, 2026

Report

Report Number
8030229-2026-06473
Event Type
Malfunction
Date Received
April 10, 2026
Date of Event
March 20, 2026
Report Date
April 10, 2026
Manufacturer
NIHON KOHDEN CORPORATION
Product Code
MHX
UDI-DI
04931921117415
PMA / PMN Number
K163459
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE BIOMEDICAL ENGINEER (BME) REPORTED MULTIPLE INSTANCES OF GZ TRANSMITTER DROPOUTS AT THE CENTRAL NURSE'S STATION (CNS). HE STATED THAT THE NURSING STAFF DID NOT PROVIDE DETAILED OBSERVATIONS REGARDING THE CONDITIONS DURING THESE EVENTS. THE BME TESTED THE RSSI VALUES, WHICH WERE FLUCTUATING FROM APPROXIMATELY 60 DOWN TO SINGLE DIGITS IN CERTAIN AREAS OF THE HOSPITAL. DURING TESTING, HE CONFIRMED THAT NO ERROR MESSAGES OR ALERTS WERE OBSERVED DURING THESE FLUCTUATIONS. WHEN THE DROPOUTS OCCURRED, ONLY THE PATIENT'S NAME WAS DISPLAYED. NO PATIENT HARM WAS 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 DEVICE INFORMATION: D10 CONCOMITANT MEDICAL DEVICE: THE FOLLOWING DEVICES WERE USED IN CONJUNCTION WITH THE GZ TRANSMITTER AND WERE AFFECTED BY THIS INCIDENT: CENTRAL NURSE'S STATION (CNS): MODEL #: CNS-2101A. SERIAL #: (B)(6). DEVICE MANUFACTURER DATA: 03/18/2024. UNIQUE IDENTIFIER (UDI) #: (B)(4). RETURNED TO NIHON KOHDEN: NA. 2 GZ TRANSMITTERS: MODEL #: GZ-130PA. SERIAL #: (B)(6). DEVICE MANUFACTURER DATA: 07/30/2024, 08/02/2024. UNIQUE IDENTIFIER (UDI) #: (B)(4). RETURNED TO NIHON KOHDEN: NA.

Description of Event or Problem · 0

THE BIOMEDICAL ENGINEER (BME) REPORTED MULTIPLE INSTANCES OF GZ TRANSMITTER DROPOUTS AT THE CENTRAL NURSE'S STATION (CNS). THE BME TESTED THE RSSI VALUES, WHICH WERE FLUCTUATING FROM APPROXIMATELY 60 DOWN TO SINGLE DIGITS IN CERTAIN AREAS OF THE HOSPITAL. DURING TESTING, HE CONFIRMED THAT NO ERROR MESSAGES OR ALERTS WERE OBSERVED DURING THESE FLUCTUATIONS. WHEN THE DROPOUTS OCCURRED, ONLY THE PATIENT'S NAME WAS DISPLAYED. NO PATIENT HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
902577 GZ-130P TELEMETRY TRANSMITTER MHX NIHON KOHDEN CORPORATION GZ-130P NA 04931921117415

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown CENTRAL NURSE'S STATION (CNS) (CNS-2101A).| GZ TRANSMITTERS (GZ-130PA).