FDA Adverse Event Malfunction Summary report: N

NV 2.X ARM

MDR report key: 14630040 · Received June 8, 2022

Report

Report Number
9612330-2022-00038
Event Type
Malfunction
Date Received
June 8, 2022
Date of Event
May 4, 2022
Report Date
July 1, 2022
Manufacturer
NATUS MEDICAL INCORPORATED
Product Code
FWC
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

INITIAL REPORT REF NATUS COMPLAINT# (B)(4). UDI NUMBER, SERIAL NUMBER IS NOT APPLICABLE. THE FLEX ARMS ON 15 CAMERAS HAVE LOST RIGIDITY WHICH PREVENTS THE CAMERA FROM FUNCTIONING AS INTENDED (CAMERA IS HELD UP TO VIEW THE BABY). NO PATIENTS WERE HARMED OR INVOLVED. A COMPANY REPRESENTATIVE WAS NOTIFIED BY HOSPITAL CLINICAL ENGINEERING DEPT. THE REPRESENTATIVE STATED THAT THERE IS NOTHING PLANNED AT THIS TIME TO PREVENT OR CORRECT THIS ISSUE DUE TO NO OTHER HOSPITALS THAT ARE EXPERIENCING THIS PROBLEM. THE CUSTOMER CONFIRMED "THEY KNOW "TWIST-TO-TIGHTEN" AND THEY CAN TELL SOME TENSION CHANGE BUT NONE WOULD SUPPORT THE CAMERA, IMMEDIATELY DROOPING AND EVENTUALLY POINTING ALMOST STRAIGHT-DOWN." NATUS SENT OUT THE REPLACEMENT PARTS TO THE CUSTOMER. ACCEPTABLE RISK ASSOCIATED WITH THE COMPLAINT AS PER LINE 6.5 IN DOC-023354 NICVIEW 2.0 ANALYSIS 3 SPREADSHEET. NO DEATH OR SERIOUS INJURY, CONSIDERED A CUSTOMER INCONVENIENCE. A RISK REVIEW IS NOT REQUIRED AS THIS COMPLAINT DOES NOT DESCRIBE A NEW FAILURE MODE OR NEW HARM AND THE EXISTING HAZARD SEVERITY AND/OR PROBABILITY OF OCCURRENCE HAS NOT CHANGED. PER QMS-004442 COMPLAINT HISTORIES ARE REVIEWED ROUTINELY PER QUALITY SYSTEM REQUIREMENTS AND ANY COMPLAINT TRENDS ARE ASSESSED AND DOCUMENTED AS PART OF THESE REVIEWS. NO COMPLAINT TRENDS HAVE BEEN IDENTIFIED. MEDWATCH FORM FDA 3500A WAS SUBMITTED BY THE CUSTOMER - REPORT# 3400690000-2022-8005. AWAITING FURTHER INVESTIGATION.

Additional Manufacturer Narrative · 0

FOLLOW UP REPORT 001 REF NATUS COMPLAINT# 10162160 NATUS WERE NOTIFIED THAT A MEDWATCH FORM FDA 3500A WAS SUBMITTED BY THE CUSTOMER - REPORT# (B)(4). PRODUCT RETURN WAS NOT REQUESTED FOR THE EVALUATION. LOW SAFETY RISK OF HARM, INDIVIDUAL COMPLAINT RELATED TO ISSUE STATED. COMPLAINT WILL BE INCLUDED IN TRENDING DATA FOR FURTHER REVIEW AND INVESTIGATION IF NEEDED. NO DEATH OR SERIOUS INJURY, CONSIDERED A CUSTOMER INCONVENIENCE.

Description of Event or Problem · 0

NV 2.X ARM THE FLEX ARMS ON 15 CAMERAS HAVE LOST RIGIDITY WHICH PREVENTS THE CAMERA FROM FUNCTIONING AS INTENDED (CAMERA IS HELD UP TO VIEW THE BABY). NO PATIENTS WERE HARMED OR INVOLVED. THE CUSTOMER CONFIRMED "THEY KNOW "TWIST-TO-TIGHTEN" AND THEY CAN TELL SOME TENSION CHANGE BUT NONE WOULD SUPPORT THE CAMERA, IMMEDIATELY DROOPING AND EVENTUALLY POINTING ALMOST STRAIGHT-DOWN." NO INJURIES REPORTED.

Description of Event or Problem · 0

NV 2.X ARM THE FLEX ARMS ON 15 CAMERAS HAVE LOST RIGIDITY WHICH PREVENTS THE CAMERA FROM FUNCTIONING AS INTENDED (CAMERA IS HELD UP TO VIEW THE BABY). NO PATIENTS WERE HARMED OR INVOLVED. THE CUSTOMER CONFIRMED "THEY KNOW "TWIST-TO-TIGHTEN" AND THEY CAN TELL SOME TENSION CHANGE BUT NONE WOULD SUPPORT THE CAMERA, IMMEDIATELY DROOPING AND EVENTUALLY POINTING ALMOST STRAIGHT-DOWN." NO INJURIES REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
227251 NV 2.X ARM NV 2.X ARM FWC NATUS MEDICAL INCORPORATED NVARM

Patients

Seq Age Sex Outcome Treatment
1 Unknown