FDA Adverse Event Summary report: N

NATUS JELLY TAB SENSORS

MDR report key: 2472124 · Received February 26, 2012

Report

Report Number
2472124
Date Received
February 26, 2012
Date of Event
January 23, 2012
Report Date
February 24, 2012
Manufacturer
NATUS MEDICAL INCORPORATED
Product Code
GWJ
Report Source
User Facility report
Reporter Location
MI, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

UPON REMOVING ABR (AUDITORY BRAINSTEM RESPONSE) PATCHES, PATIENT'S SKIN WAS NOTED TO BE RED AND TRAUMATIZED ON THE RIGHT FOREHEAD AND ANTERIOR LEFT EAR. UPON REMOVING BONE CONDUCTOR TRANSDUCER, PATIENT'S SKIN WAS NOTED TO APPEAR TRAUMATIZED ON POSTERIOR LEFT EAR. SURGEON NOTIFIED. AREA ASSESSED. PLASTIC SURGEON NOTIFIED AND AREA ASSESSED.SURGEON PLANS TO RE-ASSESS AT POST OPERATIVE APPOINTMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NATUS JELLY TAB SENSORS ELECTRODE, INFANT HEARING SCREENER GWJ NATUS MEDICAL INCORPORATED * N080311-03

Patients

Seq Age Sex Outcome Treatment
1 6 MO