FDA Adverse Event Malfunction Summary report: N

NEOBLUE 3 LED PHOTOTHERAPY SYSTEM

MDR report key: 6682371 · Received June 30, 2017

Report

Report Number
3018859-2017-00367
Event Type
Malfunction
Date Received
June 30, 2017
Report Date
May 31, 2017
Manufacturer
NATUS MEDICAL INCORPORATED
Product Code
LBI
PMA / PMN Number
K160305
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

NATUS TECHNICAL SERVICE MADE MULTIPLE ATTEMPTS TO CONTACT THE COMPLAINANT AFTER ADVISING THAT THE CONNECTION TO THE HIGH/LOW INTENSITY SWITCH SHOULD BE RESEATED AS AN INITIAL TROUBLESHOOTING STEP. THE CAUSE OF THE REPORTED ISSUE COULD NOT BE DETERMINED BECAUSE NO RESPONSE TO THESE COMMUNICATIONS WAS RECEIVED.

Additional Manufacturer Narrative · 1

THE NB USER MANUAL, PN 001364 REV. K, PROVIDES OPERATING INSTRUCTIONS IN CHAPTER 4 TO CHECK THE INTENSITY OF THE LIGHT USING A RADIOMETER PER THE INSTITUTION'S PROCEDURE (SEE SECTION 6.1). THE INTENSITY OF THE LIGHT WAS FACTORY CALIBRATED TO DELIVER 35 UW/CM2/NM AT THE HIGH SETTING AND 15 UW/CM2/NM AT THE LOW SETTING AT A DISTANCE OF 12 INCHES (30.5 CM) FROM THE BABY. DURING EVENT CALL TECHNICAL SERVICE REPRESENTATIVE ADVISED THE CUSTOMER TO RESEAT THE CONNECTION OF HIGH - LOW INTENSITY SWITCH, TO RESOLVE THE ISSUE. TECH SUPPORT HAS MADE SEVERAL ATTEMPTS TO CONTACT CUSTOMER FOR THE STATUS OF THE DEVICE AFTER TROUBLESHOOTING, NATUS WILL PROVIDE SUPPLEMENTAL REPORT AS NEEDED.

Description of Event or Problem · 1

NATUS MEDICAL RECEIVED A COMPLAINT ON (B)(6) 2017 THAT THEIR NEOBLUE 3 LED LIGHT HAD MOSTLY AMBER LEDS THAT WERE ILLUMINATING. THE TECHNICAL SERVICE REPRESENTATIVE ADVISED THE CUSTOMER TO RESEAT THE CONNECTION OF HIGH - LOW INTENSITY SWITCH, TO RESOLVE THE ISSUE. THE CUSTOMER CONFIRMED THERE WAS NO DEATH/SERIOUS INJURY, DELAY IN TREATMENT, OR ENVIRONMENTAL/SAFETY CONCERNS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
461779 NEOBLUE 3 LED PHOTOTHERAPY SYSTEM NEOBLUE 3 LBI NATUS MEDICAL INCORPORATED 001103

Patients

Seq Age Sex Outcome Treatment
1 Other