BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COMPACT PORTABLE NEUROMONITOR (ICP AND ICT)

    MDR report key: 19724262 · Received July 11, 2024

    Report

    Report Number
    2023988-2024-00047
    Event Type
    Malfunction
    Date Received
    July 11, 2024
    Date of Event
    June 13, 2024
    Report Date
    October 3, 2024
    Manufacturer
    NATUS MEDICAL INCORPORATED
    Product Code
    GWN
    UDI-DI
    00382830049023
    PMA / PMN Number
    K121573
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO
    Reporter Occupation
    OTHER
    Health Professional
    N

    Narratives

    Additional Manufacturer Narrative · 0

    INITIAL REPORT REF TO NATUS COMPLAINT # (B)(4). COMPLAINT DETAILS WERE RECEIVED AS BELOW, AND THE CUSTOMER NOTED NO DELAY IN SURGERY AND NO PATIENT INJURY /DEATH HOWEVER, FURTHER IN THE DOCUMENTED RESPONSE IT INDICATED PATIENT INJURY / POTENTIAL HAZARD AND PERFORMANCE FAILURE.REQUESTS ARE BEEN MADE TO THE CUSTOMER TO CONFIRM DETAILS,AND TO SEND ON THE PHOTOGRAPH THAT WAS NOTED TO BE ATTACHED TO THE INITIAL REPORT. CUSTOMER STATED THE FOLLOWING: (B)(6), THE SENSOR IS PLACED ON THE PATIENT, THE EQUIPMENT IS WORKING IN PERFECT CONDITION. (B)(6), THE SENSOR IS REMOVED, THE EQUIPMENT IS TURNED OFF AND STORED IN ITS ORIGINAL BOX, IN THE HOSPITAL WAREHOUSE. (B)(6), THE EQUIPMENT IS TAKEN TO THEIR OFFICES TO BE REVIEWED AND STORED IN THE WAREHOUSE. IN THEIR TECHNICAL RECEPTION PROTOCOL, WHEN THE EQUIPMENT IS TURNED ON, INFORMATION IS DISPLAYED ON THE SCREEN. (THERE WAS REFERENCE TO A PHOTOGRAPH BUT IT WAS NOT ATTACHED BY THE CUSTOMER). THE CUSTOMER IS REQUESTED TO RETURN THE AFFECTED PRODUCT FOR EVALUATION AND PROVIDE CLARIFICATION ON THE INITIAL INFORMATION THAT THEY PROVIDED.

    Additional Manufacturer Narrative · 0

    FOLLOW UP REPORT 001 REF TO NATUS COMPLAINT # (B)(4). A RESPONSE WAS RECEIVED FROM THE CUSTOMER AND THEY, PROVIDED A PICTURE OF THE ERROR MESSAGE. AN UPDATED CUSTOMER COMPLAINT FORM WAS ALSO PROVIDED, AND IT WAS CONFIRMED NO PATIENT INJURY OR DEATH, NO MEDICAL INTERVENTION WAS REQUIRED. RISK REVIEW: PER (B)(4) CAMINO ICP MONITOR RISK ANALYSIS FILE. HAZARD ID 5.9. CAUSE - THE QUALITY OF THE ICP DATA MAY BE COMPROMISED DUE TO COMPONENT AGING. EFFECTS (HARM) - CLINICALLY INSIGNIFICANT TO SEVERE BRAIN INJURY OR DEATH THE HAZARDS IDENTIFIED HAVE BEEN REDUCED AS FAR AS POSSIBLE, AND THE RESIDUAL RISK FOR THESE HAZARDS ARE CATEGORIZED AS HAVING AN RBA RATING OF MEDIUM DUE TO THE NATURE OF THE HAZARD. RISK OUTWEIGHED BY BENEFIT OF USE OF DEVICE. FURTHER INVESTIGATION TO BE CARRIED OUT.

    Additional Manufacturer Narrative · 0

    FOLLOW UP REPORT 002 REF TO NATUS COMPLAINT # (B)(4). SECTION H4 UPDATED. DEVICE HISTORY RECORD REVIEW: UNIT HAS PASSED ALL THE REQUIRED TESTS. NO MANUFACTURING DEFECTS OR NON-CONFORMANCES OBSERVED. NO ASSOCIATED CAPAS COMPLAINT HISTORY REVIEW/TREND ANALYSIS: (24 MONTHS REVIEW AND PERCENT OF SALES) (B)(4) PREVIOUSLY CONFIRMED "INTEG-SCREEN" COMPLAINTS WITHIN THE PAST TWO YEARS. (B)(4) CAM02 UNITS SOLD WITHIN PAST TWO YEARS. FAILURE RATE =(B)(4) ROOT CAUSE/FAILURE INVESTIGATION: THE CUSTOMER DID NOT RETURN THE DEVICE FOR EVALUATION. THE CUSTOMER PROVIDED AN IMAGE OF AN ERROR SCREEN, IT IS UNCLEAR BASED ON CUSTOMER COMMUNICATION IF THE ISSUE WAS RESOLVED BY FOLLOWING INSTRUCTIONS ON SCREEN. THE DEVICE HISTORY RECORDS SHOW SPECIFICATIONS WERE MET PRIOR TO RELEASE OF PRODUCT. FAILURE MODE: NO DEVICE RETURNED - UNABLE TO DETERMINE.

    Description of Event or Problem · 0

    PART CAM02 - DISPLAY ISSUE.

    Description of Event or Problem · 0

    PART CAM02 - DISPLAY ISSUE.

    Description of Event or Problem · 0

    PART CAM02 - DISPLAY ISSUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    289401 COMPACT PORTABLE NEUROMONITOR (ICP AND ICT) COMPACT PORTABLE NEUROMONITOR (ICP AND ICT) GWN NATUS MEDICAL INCORPORATED CAM02 00382830049023

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Male