inforMED
MalfunctionOLT

EEG-1200A

Received Nov 2, 2020 · Event occurred Oct 3, 2020

Report 8030229-2020-00653 · MDR key 10776084

Device

Generic name

Neurofax Electroencephalograph

Model number

EEG-1200A

Catalog number

EEG-1200A

Lot number

NA

Product problems

  • Application Program Problem
  • Output Problem
  • Application Program Problem
  • Output Problem

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

DETAILS OF COMPLAINT: THE EEG TECHNICIAN REPORTED THAT THE PATIENT'S NAME ON THE LTM STUDY HAD CHANGED. IT IS UNCLEAR IF SOMEONE ACCIDENTALLY CHANGED THE NAME OR NOT. NIHON KOHDEN TECHNICAL SUPPORT (NK TS) ASSISTED IN CHANGING THE PATIENT INFORMATION. NO HARM OR INJURY WAS REPORTED. INVESTIGATION SUMMARY: THE ALLEGATION OF THE PATIENT'S NAME CHANGING ON ITS OWN COULD NOT BE CONFIRMED. IT IS MORE COMMON THAT THE USER SELECTED THE INCORRECT NAME AT THE START OF THE EXAM. PATIENT INFORMATION ISSUES ARE EASILY RESOLVED BY EDITING THE INFORMATION FOR THE FILES IN QUESTION. THERE HAVE BEEN NO ADDITIONAL COMPLAINTS REPORTING OF AUTOMATIC PATIENT NAME CHANGES AFTER RECORDING. THE ROOT CAUSE IS LIKELY USE ERROR. 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.

Description of Event or Problem

THE EEG REPORTED THAT THE PATIENT NAME ON THE LTM STUDY HAD CHANGED. THEY HAD STARTED THE STUDY AND WHEN THEY FINISHED RECORDING THERE WAS A DIFFERENT PATIENT NAME. IT IS UNCLEAR IF SOMEONE ACCIDENTALLY CHANGED THE NAME OR NOT. THEY ARE NOT SURE HOW THIS HAPPENED. NIHON KOHDEN TECHNICAL SUPPORT (TECH SUPPORT) ASSISTED IN CHANGING THE PATIENT INFORMATION. NO PATIENT HARM REPORTED.

Additional Manufacturer Narrative

THE EEG REPORTED THAT THE PATIENT NAME ON THE (B)(6) STUDY HAD CHANGED. THEY HAD STARTED THE STUDY AND WHEN THEY FINISHED RECORDING THERE WAS A DIFFERENT PATIENT NAME. IT IS UNCLEAR IF SOMEONE ACCIDENTALLY CHANGED THE NAME OR NOT. THEY ARE NOT SURE HOW THIS HAPPENED. NIHON KOHDEN TECHNICAL SUPPORT (TECH SUPPORT) ASSISTED IN CHANGING THE PATIENT INFORMATION. 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.

Description of Event or Problem

THE EEG REPORTED THAT THE PATIENT NAME ON THE (B)(6) STUDY HAD CHANGED. THEY HAD STARTED THE STUDY AND WHEN THEY FINISHED RECORDING THERE WAS A DIFFERENT PATIENT NAME. IT IS UNCLEAR IF SOMEONE ACCIDENTALLY CHANGED THE NAME OR NOT. THEY ARE NOT SURE HOW THIS HAPPENED. NIHON KOHDEN TECHNICAL SUPPORT (TECH SUPPORT) ASSISTED IN CHANGING THE PATIENT INFORMATION. NO PATIENT HARM REPORTED.