inforMED
MalfunctionMHX

NIHON KOHDEN

Received Mar 10, 2023 · Event occurred Mar 7, 2023

Report MW5115655 · MDR key 16529211

Device

Generic name

Monitor, Physiological, Patient(with Arrhythmia Detection Or Alarms)

Model number

CNS-6801A

Product problems

  • Computer Software Problem

Patient

Unknown

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

Narrative

Description of Event or Problem

NIHON KOHDEN PT MONITORING SYSTEM CENTRAL NURSE STATION (CNS) WAS SAVING A PT'S ECG WAVEFORM AND CALIPER MEASUREMENTS TO THE INCORRECT PT'S ECG/ARRHYTHMIA HISTORY. FOR EXAMPLE, PT A IN ROOM (B)(6) HAS THEIR WAVEFORM STRIP CALIPER MEASUREMENTS TAKEN AND SAVED, BUT END UP IN THE ECG HISTORY OF PT B IN ROOM (B)(6) WITHIN THE NK CNS. CONVERSELY, PT B'S MEASUREMENTS END UP IN THE HISTORY FOR PT A. THIS HAS BEEN AN ONGOING BUT INCONSISTENT ISSUE SINCE WE INSTALLED THE SYSTEM ~ 5 YEARS AGO. REPEATED SERVICE REQUESTS AND INVESTIGATIONS BY NIHON KOHDEN HAVE NOT PROVIDED A CAUSE OR SOLUTION TO THIS ISSUE.