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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: NIHON KOHDEN CORPORATION ORG-9110A; MULTIPLE PATIENT RECEIVER

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NIHON KOHDEN CORPORATION ORG-9110A; MULTIPLE PATIENT RECEIVER Back to Search Results
Model Number ORG-9110A
Device Problem Communication or Transmission Problem (2896)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 12/07/2023
Event Type  malfunction  
Event Description
The biomedical engineer (bme) reported on (b)(6) 2023 that the central nurse's station (cns) was showing communication loss for a few devices and were able to determine that the devices that show communication loss are telemetry transmitters all on the same multiple patient receiver (org).They did a full reboot of the org and reseated the ethernet cable.They will monitor it and see if it happens again.On (b)(6) 2023, the customer stated that this is still happening and would like to have this unit sent in for repair.They received loaner org to use in the meantime.No patient harm was reported.
 
Manufacturer Narrative
The biomedical engineer (bme) reported on (b)(6) 2023 that the central nurse's station (cns) was showing communication loss for a few devices and were able to determine that the devices that show communication loss are telemetry transmitters all on the same multiple patient receiver (org).They did a full reboot of the org and reseated the ethernet cable.They will monitor it and see if it happens again.On (b)(6) 2023, the customer stated that this is still happening and would like to have this unit sent in for repair.They received loaner org to use in the meantime.No patient harm was 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.Central nurse's station model: cns-6201a.Sn: (b)(6).Device manufacturer date: 12/09/2014.Unique identifier (udi) #: (b)(6).Returned to nihon kohden: not returned.
 
Manufacturer Narrative
Details of complaint: the biomedical engineer (bme) reported on 11/20/2023 that the central nurse's station (cns) was showing comm loss for a few telemetry transmitters, all connected to the same multiple patient receiver (org).They rebooted the org and reseated the ethernet cable.On 12/07/2023, the customer stated were still getting comm loss.No patient harm was reported.Investigation summary: the device, (org-9110a, sn: (b)(6)), was returned, cleaned, decontaminated, and evaluated.During the evaluation nihon kohden repair center (nk rc) was able to confirm the issue, as the device was showing communication loss for a few devices on the cns.Nk rc's evaluation found there was excessive noise on three (3) channel receivers (part number: zr-920p-ft, quantity, three (3) each), and were recommended to be replaced.Nk rc also updated the software to (version 05-01).Nk rc confirmed the issue was attributed to damage to the receiver components, likely due to mishandling, customer abuse, and/or wear and tear damage, leading to the reported issue.In this case, the device had aged approximately eight (8) years and ten (10) months, as the device was installed at the facility on 04/23/2015.The warranty expired on 04/21/2022, indicating the device was susceptible to wear and tear damage.Nk communicated the evaluation results and the cost of the repairs to the customer, and the customer has not yet approved the purchase order (po) and repairs.Once the po is received, nk rc will move forward with the repairs, if applicable.Despite follow-up attempts, no further information was received.Some potential causes/mitigation of the reported issues, are listed below and are not limited to, user related error, incorrect settings, installation issues, file or software corruption, (due to a user relate error, such as an ungraceful exit or shutdown, which can cause corruption and settings related issues), battery issues, hardware/component failure issues, customer facility it issues or network environmental issues (including power supply or power plug in outlet issues).Issues with org devices can be mitigated by our nk ts team working with the customer, or the customer working with their it department to resolve such issues.If the issue is determined to be related to damage, the damaged device, component and or accessories/cable or hardware used with the device, can be either repaired or replaced to resolve any damage issues.The following fields contains no information (ni), as attempts to obtain the information were made, but not provided: a2 - a6.B6 - b7.D10.Attempt #1.01/03/2024 emailed customer via microsoft outlook for all items under the no information section.No reply was received.Attempt #2 01/05/2024 emailed customer via microsoft outlook for all items under the no information section.No reply was received.Attempt #3 02/27/2024 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 devices were used in conjunction with the org: central nurse's station: model: cns-6201a sn: (b)(6) device manufacturer date: 12/09/2014.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.Zm telemetry transmitters: model: ni sn: ni device manufacturer date: ni unique identifier (udi) #: ni returned to nihon kohden: not returned additional information: b4 date of this report g3 date received by manufacturer g6 type of report h2 if follow-up, what type? h3 device evaluated by manufacturer? h6 event problem and evaluation codes.H11 additional manufacturer narrative.
 
Event Description
The biomedical engineer (bme) reported on (b)(6) 2023 that the central nurse's station (cns) was showing comm loss for a few telemetry transmitters, all connected to the same multiple patient receiver (org).They rebooted the org and reseated the ethernet cable.On (b)(6) 2023, the customer stated were still getting comm loss.No patient harm was reported.
 
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Brand Name
ORG-9110A
Type of Device
MULTIPLE PATIENT RECEIVER
Manufacturer (Section D)
NIHON KOHDEN CORPORATION
attn: shama mooman
1-31-4 nishiochia
shinjuku-ku, tokyo 161-8 560
JA  161-8560
Manufacturer (Section G)
NIHON KOHDEN TOMIOKA CORPORATION
attn: shama mooman
1-1 tajino
tomioka city, gunma 370-2 314
JA   370-2314
Manufacturer Contact
shama mooman
seibu bldg 2, 4th floor 1-11-2
kusunokidai tokorozawa, saitama 359-8-580
JA   359-8580
MDR Report Key18460674
MDR Text Key332735162
Report Number8030229-2024-04030
Device Sequence Number1
Product Code DRG
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K071058
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type User Facility
Reporter Occupation Biomedical Engineer
Type of Report Initial,Followup
Report Date 02/28/2024
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-9110A
Device Catalogue NumberORG-9110A
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/05/2024
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 12/07/2023
Initial Date FDA Received01/05/2024
Supplement Dates Manufacturer Received02/26/2024
Supplement Dates FDA Received02/28/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured11/10/2014
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Treatment
CNS-6201A SN (B)(6) ; CNS-6201A, SN (B)(6) ; ZM TELEMETRY TRANSMITTER(S); ZM TELEMETRY TRANSMITTERS
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