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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: NIHON KOHDEN CORPORATION LIFE SCOPE VS; BEDSIDE MONITOR

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NIHON KOHDEN CORPORATION LIFE SCOPE VS; BEDSIDE MONITOR Back to Search Results
Model Number BSM-3532
Medical Device Problem Codes Application Program Problem (2880); Unintended Application Program Shut Down (4032)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/08/2026
Type of Reportable Event Malfunction
Event or Problem Description
The biomedical engineer (bme) reported that the bedside monitors are randomly powering off.They have to reboot the monitor to power them on.The stated the unit did not have any lights while it was powered off.They do not have a battery.No patient harm was reported.
 
Additional Manufacturer Narrative
The biomedical engineer (bme) reported that the bedside monitors are randomly powering off.They have to reboot the monitor to power them on.The stated the unit did not have any lights while it was powered off.They do not have a battery.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.
 
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Brand Name
LIFE SCOPE VS
Common Device Name
BEDSIDE MONITOR
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 Key24918128
Report Number8030229-2026-06486
Device Sequence Number16067216
Product Code MHX
UDI-Device Identifier04931921113660
UDI-Public(01)04931921113660
Combination Product (Y/N)N
Initial Reporter StateNJ
Initial Reporter CountryUS
PMA/510(K) Number
K201949
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial,Followup
Report Date (Section B) 06/10/2026
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 NumberBSM-3532
Device Catalogue NumberBSM-3532A
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer Not provided
Supplement Date Received by Manufacturer06/04/2026
Initial Report FDA Received Date04/17/2026
Supplement Report FDA Received Date06/10/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/06/2023
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
Usage of Device Reuse
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
NI.
Patient SexUnknown
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