FDA Adverse Event Malfunction Summary report: N

NATUS CSF EXTERNAL DRAINAGE SYSTEM

MDR report key: 19593205 · Received June 24, 2024

Report

Report Number
19593205
Event Type
Malfunction
Date Received
June 24, 2024
Date of Event
May 19, 2024
Report Date
May 30, 2024
Manufacturer
NATUS MEDICAL INCORPORATED
Product Code
JXG
Product Problem
Yes
Report Source
User Facility report
Reporter Location
VA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

BREAK IN CLAMP THAT ATTACHES TO IV POLE. BREAK IN CLAMP THAT ATTACHES TO IV POLE ¿ NATUS CSF (CEREBROSPINAL FLUID) EXTERNAL DRAINAGE SYSTEM (NATUS MEDICAL INCORPORATED). RN (REGISTERED NURSE) TOOK THE PRESSURE SCALE/CHAMBER OF THE EVD OFF THE POLE TO RE-LEVEL. RN WENT TO TIGHTEN THE BLUE SCREW OF THE EVD TO THE POLE AND THE ¿WHITE¿ PIECE BELOW BROKE OFF CAUSING THE ENTIRE EVD SYSTEM TO BE TILTED. MANUFACTURER RESPONSE FOR NATUS CSF EXTERNAL DRAINAGE SYSTEM, (BRAND NOT PROVIDED) (PER SITE REPORTER). WORKING WITH US.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2194758 NATUS CSF EXTERNAL DRAINAGE SYSTEM SHUNT, CENTRAL NERVOUS SYSTEM AND COMPONENTS JXG NATUS MEDICAL INCORPORATED

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown