FDA Adverse Event
Malfunction
Summary report: N
CNS-9700
MDR report key: 4384958
·
Received December 24, 2014
Report
- Report Number
- 2080783-2014-00175
- Event Type
- Malfunction
- Date Received
- December 24, 2014
- Date of Event
- October 22, 2013
- Report Date
- October 22, 2013
- Manufacturer
- NIHON KOHDEN CORP.
- Product Code
- MHX
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- CA, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Description of Event or Problem · 1
THE CUSTOMER STATED THAT THE CENTRAL MONITORING SYSTEM (CNS) BLUE SCREENED. REF MFR REPORT #: 8030229-2014-000175.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 849942 | CNS-9700 | CENTRAL MONITOR SYS | MHX | NIHON KOHDEN CORP. | CNS-9700 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NI |