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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 Output Problem (3005)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/02/2024
Event Type  malfunction  
Event Description
The biomedical engineer (bme) reported that they keep getting this bed not ready error.The multiple patient receiver (org) would be rebooted and the unit would work for a few hours, but the issue would return.No patient harm was reported.
 
Manufacturer Narrative
The biomedical engineer (bme) reported that they keep getting this bed not ready error.The multiple patient receiver (org) would be rebooted and the unit would work for a few hours, but the issue would return.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.The following fields contains no information (ni), as attempts to obtain information were made, but the information was not provided.A2:, a6.B6:, b7.Attempt #1: 01/04/2024.Emailed customer via microsoft outlook for all items under the no information section.The customer responded back with complaint details, but they did not provide the patient information as requested.Additional device information: d10: concomitant medical device: the following device(s) were being used in conjunction with the multiple patient receiver (org).Central nurse's station: model: cns-6801a, sn: (b)(6).Device manufacturer date: 06/15/2021.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa.Sn: (b)(6).Device manufacturer date: 08/09/2013.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa.Sn: (b)(6), device manufacturer date: 05/13/2014.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa.Sn: (b)(6).Device manufacturer date: 05/13/2014.Unique identifier (udi) #: 04931921115107 returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa, sn: (b)(6).Device manufacturer date: 04/22/2015.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa.Sn: (b)(6), device manufacturer date: 01/19/2017.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa.Sn: (b)(6), device manufacturer date: 09/21/2021.Unique identifier (udi) #: (b)(6), returned to nihon kohden: not returned.
 
Event Description
The biomedical engineer (bme) reported that they kept getting a "bed not ready" error message.They rebooted the multiple patient receiver (org) and it would work for a few hours, then the issue would return.No patient harm was reported.
 
Manufacturer Narrative
Details of complaint: the biomedical engineer (bme) reported that they kept getting a "bed not ready" error message.They rebooted the multiple patient receiver (org) and it would work for a few hours, then the issue would return.No patient harm was reported.Investigation summary: the org was sent in for evaluation and repair.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 the "bed not ready" error message.Nk rc's evaluation found a programming / setup / configuration error, as there was a mismatch of the model number on the unit.The recommended repairs are to initialize the unit, reprogram, setup, and configure the device with the correct model number and recheck the network communication.We emailed the customer a quote for the recommended repairs.Once the repair approval and purchase order (po) is received from the customer, we will move forward with the recommended repairs, post repair testing, and then ship the unit back to the customer, once completed.Nk identified some possible org issues, which 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 information technology (it) issues or network environmental issues (including power supply or power plug in outlet issues).A review of the device history for (org-9110a, sn: (b)(6)), did not reveal any trends that would contribute to component failure that is related to the design or manufacturing of the device.Moreover, this was found to be the only issue at the facility in the past three (3) years for this device and issue.However, a similar issue for a similar device was found under ticket (b)(4), for (org-9110a, sn: (b)(6)) for an error message being displayed.Under that ticket, nk was unable to confirm the reported issue as nk rc did not find any error messages on the device, but did find duplicate channels e602, which could have contributed to the registered bed error message.As such, this, and the similar issue under ticket (b)(4) are isolated issues.Therefore, a significant trend that would warrant any further corrective action has not been observed.D10: concomitant medical device: the following devices were used in conjunction with the multiple patient receiver (org): central nurse's station: model: cns-6801a.Sn: (b)(6).Device manufacturer date: 06/15/2021.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa.Sn: (b)(6).Device manufacturer date: 08/09/2013.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa.Sn: (b)(6).Device manufacturer date: 05/13/2014.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa.Sn: (b)(6).Device manufacturer date: 05/13/2014.Unique identifier (udi) #: (b)(6).Returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa.Sn: (b)(6).Device manufacturer date: 04/22/2015.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa.Sn: (b)(6).Device manufacturer date: 01/19/2017.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.Telemetry transmitter: model: zm-531pa.Sn: (b)(6).Device manufacturer date: 09/21/2021.Unique identifier (udi) #: (b)(4).Returned to nihon kohden: not returned.
 
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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 Key18611436
MDR Text Key334732639
Report Number8030229-2024-04096
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 03/01/2024
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 Manufacturer01/29/2024
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 01/02/2024
Initial Date FDA Received01/30/2024
Supplement Dates Manufacturer Received02/28/2024
Supplement Dates FDA Received03/01/2024
Was Device Evaluated by Manufacturer? No
Date Device Manufactured10/01/2014
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
6 ZM TRANSMITTERS; CNS; CNS-6801A SN (B)(6); ZM-531PA SN (B)(6); ZM-531PA SN (B)(6); ZM-531PA SN (B)(6); ZM-531PA SN (B)(6); ZM-531PA SN (B)(6); ZM-531PA SN (B)(6)
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