• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: NIHON KOHDEN CORPORATION ORG-9700A; RECEIVER UNIT

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

NIHON KOHDEN CORPORATION ORG-9700A; RECEIVER UNIT Back to Search Results
Model Number ORG-9700A
Device Problems Application Program Problem (2880); Output Problem (3005)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/23/2021
Event Type  malfunction  
Event Description
The biomedical engineer reported that they are having an issue with the arrythmia recall where the it was showing with the incorrect date, march 1970.Arrhythmia recall is historical arrythmia data on the central nurse's station (cns).The customer confirmed that all the real time alarms are reporting correctly.The customer uses arrhythmia recall to print strips, and this is needed when there is an abnormal rhythm so that the doctors and cardiologists can view them.This impacts patient care.Nihon kohden technical support (tech support) informed them that this was a multiple patient receiver (org) issue that was ongoing.No patient harm reported.
 
Manufacturer Narrative
The biomedical engineer reported that they are having an issue with the arrythmia recall where the it was showing with the incorrect date, march 1970.Arrhythmia recall is historical arrythmia data on the central nurse's station (cns).The customer confirmed that all the real time alarms are reporting correctly.The customer uses arrhythmia recall to print strips, and this is needed when there is an abnormal rhythm so that the doctors and cardiologists can view them.This impacts patient care.Nihon kohden technical support (tech support) informed them that this was a multiple patient receiver (org) issue that was ongoing.No patient harm reported.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.Concomitant medical device: the following device(s) were being used in conjunction with the org, but model and serial number information was noted as no information (ni), as attempts to obtain information were made but information was not provided.Multiple patient receiver model: org-9700a sn: (b)(4) approximate age of device: 206 months device manufacturer date: 12/15/2003 unique identifier (udi) #: na returned to nihon kohden: not returned central nurse's station model: cns-9701a sn: ni telemetry transmitters model: ni sn: ni.
 
Manufacturer Narrative
Details of the complaint: the biomedical engineer reported that they are having an issue with the arrythmia recall where the it was showing with the incorrect date, (b)(6) 1970.Arrhythmia recall is historical arrythmia data on the central nurse's station (cns).The customer confirmed that all the real time alarms are reporting correctly.The customer uses arrhythmia recall to print strips, and this is needed when there is an abnormal rhythm so that the doctors and cardiologists can view them.This impacts patient care.Nihon kohden technical support (tech support) informed them that this was a multiple patient receiver (org) issue that was ongoing.No patient harm reported.Investigation conclusion: the reported device was not returned for evaluation.Nkc has determined that after 1/1/2021 when the data is transferred from the zm series through the org, the org receiver applies an incorrect date stamp to episodic transmitter data (i.E.A.Arrhythmia recall data, b.St recall data, and c.Nibp measurement data).This date error is either carried over to the cns / rns or blocked so that the episodic data is missing depending on the model of the cns / rns.The root cause of this issue is software deficiency.The following fields are not applicable (na) to the mdr report: d4 lot number & expiration & unique identifier (udi) # g4 device bla number the following fields contains no information (ni), as attempts to obtain information were made, but not provided.Attempt #1 on (b)(6) 2021 emailed customer via microsoft outlook for all items under the no information section.No reply was received.Attempt #2 on (b)(6) 2021 emailed customer via microsoft outlook for all items under the no information section.No reply was received.Attempt #3 on (b)(6) 2021 emailed customer via microsoft outlook for all items under the no information section.No reply was received.Additional device information: d10: concomitant medical device: the following device(s) were being used in conjunction with the org, but model and serial number information was noted as no information (ni), as attempts to obtain information were made but information was not provided.Attempt #1 on (b)(6) 2021 emailed customer via microsoft outlook for all items under the no information section.No reply was received.Attempt #2 on (b)(6) 2021 emailed customer via microsoft outlook for all items under the no information section.No reply was received.Attempt #3 on (b)(6) 2021 emailed customer via microsoft outlook for all items under the no information section.No reply was received.Multiple patient receiver model: org-9700a, sn: (b)(6), approximate age of device: 206 months, device manufacturer date: 12/15/2003 , returned to nihon kohden: not returned central nurse's station model: cns-9701a, sn: ni.Telemetry transmitters model: ni, sn: ni.Additional information: b4 date of this report g3 date received by manufacturer g6 type of report h2 if follow-up, what type? h6 event problem and evaluation codes h10 additional manufacturer narrative.
 
Event Description
The biomedical engineer reported that they are having an issue with the arrythmia recall where the it was showing with the incorrect date, (b)(6) 1970.Arrhythmia recall is historical arrythmia data on the central nurse's station (cns).The customer confirmed that all the real time alarms are reporting correctly.The customer uses arrhythmia recall to print strips, and this is needed when there is an abnormal rhythm so that the doctors and cardiologists can view them.This impacts patient care.Nihon kohden technical support (tech support) informed them that this was a multiple patient receiver (org) issue that was ongoing.No patient harm reported.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
ORG-9700A
Type of Device
RECEIVER UNIT
Manufacturer (Section D)
NIHON KOHDEN CORPORATION
attn: shama mooman
1-31-4 nishiochia
shinjuku-ku, tokyo 161-8 560
JA  161-8560
MDR Report Key11571019
MDR Text Key280473469
Report Number8030229-2021-00168
Device Sequence Number1
Product Code DRG
Combination Product (y/n)N
PMA/PMN Number
K071058
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Type of Report Initial,Followup
Report Date 09/22/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberORG-9700A
Device Catalogue NumberMU-970RA
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 02/23/2021
Initial Date FDA Received03/25/2021
Supplement Dates Manufacturer Received08/30/2021
Supplement Dates FDA Received09/22/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
CNS-9701A; CNS-9701A; ORG-9700A SN (B)(6); ORG-9700A SN (B)(6); TELEMETRY TRANSMITTERS; TELEMETRY TRANSMITTERS
-
-