FDA Adverse Event Malfunction Summary report: N

1093 OTOSCAN

MDR report key: 15637729 · Received October 20, 2022

Report

Report Number
9612197-2022-00008
Event Type
Malfunction
Date Received
October 20, 2022
Date of Event
October 17, 2022
Report Date
March 16, 2023
Manufacturer
NATUS MEDICAL DENMARK APS
Product Code
ERA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

FOLLOW UP REPORT 001 REF NATUS COMPLAINT#(B)(4). CUSTOMER HAS BEEN ADVISED TO RETURN THE DEVICE FOR EVALUATION. THERE ARE NO CAPA'S RELATED TO THIS ISSUE. THIS COMPLAINT DOES NOT IDENTIFY A DEFICIENCY IN THE PRODUCT DESIGN AND THEREFORE A CAPA IS NOT REQUIRED. COMPLAINTS ARE REVIEWED ROUTINELY PER QUALITY SYSTEM REQUIREMENTS (QMS-004442 CORPORATE TRENDING AND ANALYSIS PROCEDURE) COMPLAINT TRENDS ARE ASSESSED AS PART OF THESE REVIEWS. A REVIEW OF COMPLAINT TRENDING IS COMPLETED QUARTERLY. LAST REVIEW DOC- 060538 NO TREND FOR THIS FAILURE IDENTIFIED THE CURRENT RISK FILE DOC-036156 REV 05 1093 OTOSCAN - RISK ANALYSIS SPREADSHEET HAZARD ID 6.5 IDENTIFIES THIS ISSUE HARM - USER & PATIENT INJURY CAUSE- DEVICE HAS ROUGH, SURFACE AND/OR SHARP CORNERS &/OR EDGES SEVERITY- MARGINAL (3) RISK LEVEL- MINOR (9). 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. CERTIFICATE OF COMPLIANCE WAS REVIEWED, AND NO RELATED FAULTS/ISSUE FOUND.

Additional Manufacturer Narrative · 0

FOLLOW UP REPORT 003 REF NATUS COMPLAINT#(B)(4). INSTALL DATE OF DEVICE: (B)(6) 2021. THE CUSTOMER RETURNED THE DEVICE FOR EVALUATION. THE FOLLOWING INVESTIGATION RESULTS WERE MADE AVAILABLE: THE GLASS PART OF THE SCANNER WAS EXAMINED, BUT NO DAMAGE OR SHARP EDGES WERE DISCOVERED. THE METAL PARTS WERE ALSO LOOKED AT AND DISCOVERED NO DAMAGE OR SHARP EDGES. HOWEVER, THERE WERE MINOR SCRATCHES IN THE AXIAL DIRECTION, WHICH CAN HAPPEN IF THE DEVICE WAS HANDLED INCORRECTLY. ROOT CAUSE/PROBABLE ROOT CAUSE: THE SCANNER TIP WAS NOT DAMAGED, AND THERE WERE NO SHARP EDGES. THE EQUIPMENT WAS THOROUGHLY INVESTIGATED, AND NO PROBLEMS WERE NOTED. FAILURE CONFIRMED: NO. INVESTIGATION RESULT CODE: TAASTRUP/NO FAULT FOUND. CLOSURE RATIONALE:COMPLAINT COULD NOT BE VERIFIED, MONITOR FOR FUTURE OCCURRENCE.

Additional Manufacturer Narrative · 0

FOLLOW UP REPORT 002 REF NATUS COMPLAINT (B)(4). CUSTOMER HAS BEEN ADVISED TO RETURN THE DEVICE FOR EVALUATION. JAN 13, 2023 - WAITING FOR THE DEVICE TO BE RETURNED. A REPLACEMENT DEVICE TO BE SHIPPED TO THE CUSTOMER.

Additional Manufacturer Narrative · 0

INITIAL REPORT REF NATUS COMPLAINT# (B)(4). DEVICE WILL BE REQUESTED FOR RETURN AND EXAMINATION. INSTALL DATE OF THE DEVICE WAS (B)(6) 2021.

Description of Event or Problem · 0

THE COMPLAINANT SAID THAT THE 1096 OTOSCAN IN HER POSSESSION MAY HAVE, THROUGH THE SHARP CORNER AT THE END OF THE PROBE, SCARRED A FEMALE PATIENT WHO SUFFERED LATER ON SOME EAR BLEEDING.

Description of Event or Problem · 0

THE COMPLAINANT SAID THAT THE 1096 OTOSCAN IN HER POSSESSION MAY HAVE, THROUGH THE SHARP CORNER AT THE END OF THE PROBE, SCARRED A FEMALE PATIENT WHO SUFFERED LATER ON SOME EAR BLEEDING.

Description of Event or Problem · 0

THE COMPLAINANT SAID THAT THE 1096 OTOSCAN IN HER POSSESSION MAY HAVE, THROUGH THE SHARP CORNER AT THE END OF THE PROBE, SCARRED A FEMALE PATIENT WHO SUFFERED LATER ON SOME EAR BLEEDING.

Description of Event or Problem · 0

THE COMPLAINANT SAID THAT THE 1096 OTOSCAN IN HER POSSESSION MAY HAVE, THROUGH THE SHARP CORNER AT THE END OF THE PROBE, SCARRED A FEMALE PATIENT WHO SUFFERED LATER ON SOME EAR BLEEDING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2562013 1093 OTOSCAN 1093 OTOSCAN ERA NATUS MEDICAL DENMARK APS 8-04-15400

Patients

Seq Age Sex Outcome Treatment
1 84 YR Female