FDA Adverse Event Malfunction Summary report: N

OLM INTRACRANIAL PRESSURE MONITORING KIT

MDR report key: 18109053 · Received November 10, 2023

Report

Report Number
2023988-2023-00041
Event Type
Malfunction
Date Received
November 10, 2023
Date of Event
October 23, 2023
Report Date
July 19, 2024
Manufacturer
NATUS MEDICAL INCORPORATED
Product Code
GWM
UDI-DI
00382830047494
PMA / PMN Number
K102875
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

INITIAL REPORT REF NATUS COMPLAINT# (B)(4). ACCEPTABLE RISK AS PER HAZARD ID 12.1, SEVERITY 0, IN DOC-047178 CAMINO 110-4 SERIES CATHETER KITS-RISK ANALYSIS. RISK IS CONSIDERED TO BE LOW. 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. FURTHER INVESTIGATION TO BE CARRIED OUT.

Additional Manufacturer Narrative · 0

FOLLOW UP REPORT 001 NATUS COMPLAINT# (B)(4). THREE ATTEMPTS WERE MADE TO CONFIRM IF THE AFFECTED PRODUCT WAS AVAILABLE TO BE RETURNED FOR EVALUATION ON NOVEMBER 8TH, 15TH AND 22ND, 2023. 28-NOV-2023: COMPLETED COMPLAINT FORM RETURNED, CONFIRMED PART WAS AVAILABLE TO BE RETURNED. CUSTOMER WAS SENT ANOTHER THREE REMINDERS TO RETURN THE PRODUCT ON DECEMBER 14TH, 24TH AND 29TH, 2023. DEVICE WAS NOT RETURNED FOR EVALUATION. INVOICE SENT JANUARY 14TH, 2024. NO DEVICE HISTORY RECORD REVIEW CARRIED OUT FOR THIS PRODUCT. COMPLAINT HISTORY WAS REVIEWED FOR THE PREVIOUS TWO YEARS AND FOUND 1 CONFIRMED COMPLAINT, GIVING A FAILURE RATE OF (B)(4)%. FURTHER INVESTIGATION TO BE CARRIED OUT BEFORE FINAL CLOSURE OF COMPLAINT CASE.

Additional Manufacturer Narrative · 0

FOLLOW UP REPORT 002 NATUS COMPLAINT# (B)(4). THE DEVICE HISTORY RECORD WAS REVIEWED, THE RAW MATERIALS USED IN THE MANUFACTURING MET SPECIFICATIONS AND THERE WERE NO ANOMALIES OBSERVED DURING THE MANUFACTURING, PACKAGING, OR INSPECTION OF THE DEVICE IN PROCESS. NO ASSOCIATED CAPAS. ROOT CAUSE/FAILURE INVESTIGATION: THE CUSTOMER DID NOT RETURN THE DEVICE FOR EVALUATION OR PROVIDE ANY FURTHER INFORMATION REGARDING THE INCIDENT. THE DEVICE HISTORY RECORDS SHOW THE CATHETER MET SPECIFICATIONS PRIOR TO RELEASE. FAILURE MODE: UNCONFIRMED/ NO DEVICE RETURNED.

Description of Event or Problem · 0

PART1104B -OLM INTRACRANIAL PRESSURE MONITORING KIT - DURING DOCTOR'S ROBOTIC SEEG (STEREOELECTROENCEPHALOGRAPHY) CASE, HE WANTED TO USE A NATUS CAMINO INTRACRANIAL PRESSURE MONITOR. WHEN HE WENT TO ZERO IT OUT BEFORE USE, IT REMAINED AT A SETTING OF 300 AND WOULD NOT MOVE. HE USED A DIFFERENT ONE INSTEAD. NO INJURIES REPORTED.

Description of Event or Problem · 0

PART1104B -OLM INTRACRANIAL PRESSURE MONITORING KIT - DURING DOCTOR'S ROBOTIC SEEG (STEREOELECTROENCEPHALOGRAPHY) CASE, HE WANTED TO USE A NATUS CAMINO INTRACRANIAL PRESSURE MONITOR. WHEN HE WENT TO ZERO IT OUT BEFORE USE, IT REMAINED AT A SETTING OF 300 AND WOULD NOT MOVE. HE USED A DIFFERENT ONE INSTEAD. NO INJURIES REPORTED.

Description of Event or Problem · 0

PART1104B -OLM INTRACRANIAL PRESSURE MONITORING KIT - DURING DOCTOR'S ROBOTIC SEEG (STEREOELECTROENCEPHALOGRAPHY) CASE, HE WANTED TO USE A NATUS CAMINO INTRACRANIAL PRESSURE MONITOR. WHEN HE WENT TO ZERO IT OUT BEFORE USE, IT REMAINED AT A SETTING OF 300 AND WOULD NOT MOVE. HE USED A DIFFERENT ONE INSTEAD. NO INJURIES REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1866985 OLM INTRACRANIAL PRESSURE MONITORING KIT OLM INTRACRANIAL PRESSURE MONITORING KIT GWM NATUS MEDICAL INCORPORATED 1104B 118D00960448 00382830047494

Patients

Seq Age Sex Outcome Treatment
1 27 YR Female