FDA Adverse Event Malfunction Summary report: N

NEOBLUE 3 LED PHOTOTHERAPY SYSTEM

MDR report key: 7229678 · Received January 30, 2018

Report

Report Number
3018859-2018-00079
Event Type
Malfunction
Date Received
January 30, 2018
Report Date
January 2, 2018
Manufacturer
NATUS MEDICAL INCORPORATED
Product Code
LBI
PMA / PMN Number
K160305
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NATUS TECHNICAL SERVICE ADVISED THE COMPLAINANT TO REPLACE THE CONSTANT CURRENT PCB, AND A REPLACEMENT CONSTANT CURRENT PCB WAS DELIVERED TO THE COMPLAINANT ON 1/8/2018. NATUS TECHNICAL SERVICE FOLLOWED UP WITH THE COMPLAINANT CONCERNING THE STATUS OF THE DEVICE ON 1/24/2018 AND 1/29/2018. NO RESPONSE WAS RECEIVED.

Description of Event or Problem · 1

NATUS RECEIVED A REPORT THAT THE INTENSITY OF A NEOBLUE 3 DEVICE (INSTALLED (B)(6) 2014) WAS BELOW SPECIFICATIONS. WHILE MEASURING 12" BELOW THE CENTER OF THE DEVICE, THE COMPLAINANT REPORTED INTENSITY READINGS OF 30 AND 26 UW/CM^2/NM ON THE HIGH SETTING AND 7 AND 12 UW/CM^2/NM ON THE LOW SETTING. A NATUS NEOBLUE RADIOMETER (CALIBRATED 8/2017) WAS USED TO MEASURE INTENSITY. THE NEOBLUE 3 SERVICE MANUAL STATES THAT THE LIGHT INTENSITY SPECIFICATION IS 35 ± 3.5 UW/CM^2/NM ON THE HIGH SETTING AND 15 ± 2 UW/CM^2/NM ON THE LOW SETTING AS MEASURED BY A NEOBLUE RADIOMETER. THERE WAS NO REPORT OF DEATH, SERIOUS INJURY, DELAY IN TREATMENT, OR ENVIRONMENTAL/SAFETY CONCERNS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
70829 NEOBLUE 3 LED PHOTOTHERAPY SYSTEM NEOBLUE 3 LBI NATUS MEDICAL INCORPORATED 001103

Patients

Seq Age Sex Outcome Treatment
1 Other