FDA Adverse Event Malfunction Summary report: N

NEOBLUE 3

MDR report key: 6867175 · Received September 14, 2017

Report

Report Number
3018859-2017-00697
Event Type
Malfunction
Date Received
September 14, 2017
Report Date
August 17, 2017
Manufacturer
NATUS MEDICAL INCORPORATED
Product Code
LBI
PMA / PMN Number
K160305
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED DEVICE ISSUE WAS VERIFIED BY NATUS TECH SUPPORT OVER THE PHONE WITH THE CUSTOMER. THE CUSTOMER WAS SENT A REPLACEMENT INTENSITY SWITCH FOR THE NEOBLUE. 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 [?]W/CM2/NM AT THE HIGH SETTING AND 15 [?]W/CM2/NM AT THE LOW SETTING AT A DISTANCE OF 12 INCHES (30.5 CM) FROM THE BABY. INTENSIVE PHOTOTHERAPY (>30 [?]W/CM2/NM), MAY NOT BE APPROPRIATE FOR ALL INFANTS (I.E. PRETERM INFANTS [?]1000G). SEVERAL ATTEMPTS WERE MADE TO THE CUSTOMER FOR THE STATUS OF THE DEVICE, WITH NO RESPONSE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED TO NATUS ON (B)(6) 2017 THEIR NEOBLUE 3 HAD LED LIGHT INTENSITY SWITCH WAS DEFECTIVE. THE CUSTOMER DID NOT MENTION PATIENT INVOLVEMENT, OR ENVIRONMENTAL/SAFETY CONCERNS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
646213 NEOBLUE 3 NEOBLUE LBI NATUS MEDICAL INCORPORATED 001103

Patients

Seq Age Sex Outcome Treatment
1 Other