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 |