BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OAE ADULT FOAM EAR TIPS

    MDR report key: 7047062 · Received November 20, 2017

    Report

    Report Number
    3018859-2017-00942
    Event Type
    Malfunction
    Date Received
    November 20, 2017
    Report Date
    October 23, 2017
    Manufacturer
    NATUS MEDICAL INC.
    Product Code
    GWJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THIS ISSUE WAS INVESTIGATED THROUGH CORRECTIVE ACTIONS. THE ROOT CAUSE OF THIS ISSUE WAS CONFIRMED TO BE INADEQUATE APPLICATION OF THE ADHESIVE WHICH SECURES THE FOAM TO THE LUMEN TUBE.

    Additional Manufacturer Narrative · 1

    THE CUSTOMER WAS RECOMMENDED TO REPLACE THEIR FOAM EAR TIPS. NATUS INSTRUCTIONS INCLUDE SELECTING THE APPROPRIATE SIZE EAR TIP FOR THE PATIENT, AS WELL AS INSTRUCTIONS REGARDING USING LARGER SIZE FOAM TIPS FOR INSERTION INTO THE EAR CANAL. NATUS IS INVESTIGATING THIS ISSUE THROUGH CORRECTIVE ACTIONS AT THIS TIME.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED TO NATUS MEDICAL THAT THE FOAM TIPS OF THE FOAM EAR TIP ASSEMBLIES ARE SEPARATING FROM THE INNER PLASTIC TUBING. THERE HAS BEEN NO REPORT OF PATIENT DEATH, INJURY OR DELAY IN PATIENT TREATMENT. NO ENVIRONMENTAL OR SAFETY CONCERNS HAVE ALSO BEEN REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    824727 OAE ADULT FOAM EAR TIPS OAE ADULT FOAM EAR TIPS GWJ NATUS MEDICAL INC. 203202 N030917-01

    Patients

    Seq Age Sex Outcome Treatment
    1 Other