FDA Adverse Event Other Summary report: N

BSM-6300A

MDR report key: 5651447 · Received May 12, 2016

Report

Report Number
2032233-2016-00255
Event Type
Other
Date Received
May 12, 2016
Date of Event
May 10, 2016
Report Date
June 9, 2016
Manufacturer
NIHON KOHDEN TOMIOKA CORPORATION
Product Code
MHX
UDI-DI
04931921103517
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER REPORTED THAT BLOOD PRESSURE READINGS ARE DIFFERENT ON THE BEDSIDE MONITOR THAN WHEN USING THE MANUAL BLOOD PRESSURE CUFF. THE MANUAL BLOOD PRESSURE WAS PRODUCING A READING OF 178/62 WHERE AS THE BEDSIDE MONITOR WAS GIVING A READING OF 221/178. THE MANUAL CUFF BEING USED WAS A SMALL ADULT DURA CUFF. CUSTOMER WAS ASKED TO TEST USING THE NIHON KOHDEN CUFF, THE DURA CUFF, AND THROUGH THE BEDSIDE MONITOR TO COMPARE THE READINGS. AT PRESENT, THE CUSTOMER HAS NOT PURCHASED THE NIHON KOHDEN CUFF . 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.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT BLOOD PRESSURE READINGS ARE DIFFERENT ON THE BEDSIDE MONITOR THAN WHEN USING THE MANUAL BLOOD PRESSURE CUFF. THE MANUAL BLOOD PRESSURE WAS PRODUCING A READING OF 178/62 WHERE AS THE BEDSIDE MONITOR WAS GIVING A READING OF 221/178. THE MANUAL CUFF BEING USED WAS A SMALL ADULT DURA CUFF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
307020 BSM-6300A VITAL SIGNS MONITOR MHX NIHON KOHDEN TOMIOKA CORPORATION BSM-6300A NA 04931921103517

Patients

Seq Age Sex Outcome Treatment
1 Unknown