FDA Adverse Event Malfunction Summary report: N

CNS-6201

MDR report key: 4778785 · Received May 14, 2015

Report

Report Number
2080783-2015-00090
Event Type
Malfunction
Date Received
May 14, 2015
Date of Event
April 17, 2015
Report Date
April 17, 2015
Manufacturer
NIHON KOHDEN CORPORATON
Product Code
MHX
Product Problem
Yes
Report Source
Distributor report
Reporter Location
FL, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE CENTRAL MONITORING SYSTEM (CNS) SHOWING ALL OF THE VITAL SIGNS MONITORS GOING INTO COMMUNICATION LOSS AND FOUR OF THEIR TELEMETRY DEVICES WERE DROPPING OFF THE CNS AS WELL. MFR 8030229-2015-00090.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
316597 CNS-6201 CENTRAL MONITOR SYSETM MHX NIHON KOHDEN CORPORATON CNS-6201

Patients

Seq Age Sex Outcome Treatment
1 NI