FDA Adverse Event Malfunction Summary report: N

RNS-9703-019

MDR report key: 5052198 · Received September 2, 2015

Report

Report Number
2032233-2015-00240
Event Type
Malfunction
Date Received
September 2, 2015
Date of Event
August 3, 2015
Report Date
August 3, 2015
Manufacturer
NKUS LAB
Product Code
MHX
PMA / PMN Number
K023475
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICAL SUPPORT REP AT NIHON KOHDEN LOOKED AT THE HOSPITAL'S RNS SERVER AND DID NOT SEE ANYTHING WRONG WITH THE SYSTEM AND NOTED THAT EVERYTHING WAS FUNCTIONAL. THE BIOMEDICAL ENGINEER ADVISED THE CNS WAS NOT SEEING THE BEDSIDE WAVEFORMS EITHER. THE BIOMEDICAL ENGINEER THEN DETERMINED THAT THE IP ADDRESS OF THE CNS WAS NOT LISTED ON THE HOST1000 TABLE. THE BIOMEDICAL ENGINEER ADDED THE IP ADDRESS OF THE CNS AND IT STARTED TO FUNCTION CORRECTLY. THE BIOMEDICAL ENGINEER REPORTED THAT THE RNS CLIENT STILL ONLY HAD THE PATIENT NAMES. NIHON KOHDEN'S TECHNICAL SUPPORT REP ADVISED IT COULD TAKE SOME TIME TO BUILD THE TABLE AFTER ADDING THE CNS TO THE HOST TABLE. DEVICE NOT RETURNED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE REMOTE NETWORK STATION (RNS OR REMOTE MONITORING SYSTEM) IS SHOWING THE PATIENT NAMES BUT NOT THE WAVEFORMS OR NUMERICS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
581237 RNS-9703-019 RNS-9703-019 MHX NKUS LAB RNS-9703-019

Patients

Seq Age Sex Outcome Treatment
1