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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: NIHON KOHDEN ORANGEMED, LLC NIHON KOHDEN NKV-550 SERIES VENTILATOR SYSTEM; VENTILATOR, CONTINUOUS, FACILITY USE

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NIHON KOHDEN ORANGEMED, LLC NIHON KOHDEN NKV-550 SERIES VENTILATOR SYSTEM; VENTILATOR, CONTINUOUS, FACILITY USE Back to Search Results
Model Number NKV-550-U
Medical Device Problem Code Defective Component (2292)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/13/2026
Type of Reportable Event Malfunction
Event or Problem Description
During patient use, the doctor increased the ventilator respiratory rate from 12 to 22 breaths per minute.Following this adjustment, the ventilator displayed an internal o2 sensor fault alert and an audible low-pressure alarm.The patient was transferred to another ventilator.No patient harm was reported.After removal from patient use, the user observed continuous gas flow exiting the inspiratory port while the ventilator was in the standby mode.During troubleshooting, the o2 valve calibration failed.No leaks were identified in the regulators or psols.The o2 sensor passed testing, and the manual inspiratory-side leak test also passed.
 
Additional Manufacturer Narrative
Nihon kohden orangemed llc will submit a supplemental report if additional information becomes available.
 
Additional Manufacturer Narrative
Evaluation completed.See attached failure investigation summary report.
 
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Brand Name
NIHON KOHDEN NKV-550 SERIES VENTILATOR SYSTEM
Common Device Name
VENTILATOR, CONTINUOUS, FACILITY USE
Manufacturer (Section D)
NIHON KOHDEN ORANGEMED, LLC
1800 e. wilshire ave.
santa ana CA 92705
Manufacturer (Section G)
NIHON KOHEN ORANGEMED, LLC
1800 e. wilshire ave.
santa ana CA 92705
Manufacturer Contact
sheryl higgins
1800 e. wilshire ave.
santa ana, CA 92705
949502644
MDR Report Key24264554
Report Number3014631252-2026-00008
Device Sequence Number10658848
Product Code CBK
UDI-Device Identifier00843685100012
UDI-Public(01)00843685100012(11)250620
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K192307
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date (Section B) 04/10/2026
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
Operator of Device Health Professional
Device Model NumberNKV-550-U
Was Device Available for Evaluation? Device Returned to Manufacturer
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/15/2026
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date02/04/2026
Supplement Report FDA Received Date04/11/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/20/2025
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient Age8 YR
Patient SexFemale
Patient Weight29 KG
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