* 42

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-10-04 for * 42 manufactured by Natus Medical.

Event Text Entries

[14925991] A smell was noticed by staff in "blue" hallway of nicu. Rn and cna tried to locate source and could not. Rn stated it smelled most in one room. When rn went into room she noticed a small stream of white smoke coming from the top of unit's control box. The unit was unplugged and removed from the patient's room. The smoke had stopped and they watched the unit for ten minutes at the front desk with no further smoke seen. Biomed comments: smoke was due to the fuse holder burning up. Possible arching causing fuse holder to burn away. Replaced fuse holder and fuse. Performed safety and operational test.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2299388
MDR Report Key2299388
Date Received2011-10-04
Date of Report2011-10-04
Date of Event2011-08-23
Report Date2011-10-04
Date Reported to FDA2011-10-04
Date Added to Maude2011-10-18
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameHEATING, LAMP
Product CodeILY
Date Received2011-10-04
Model Number42
Catalog Number*
Lot Number*
ID Number*
Device AvailabilityY
Device Age14 YR
Device Sequence No1
Device Event Key0
ManufacturerNATUS MEDICAL
Manufacturer Address5900 FIRST AVE S SEATTLE WA 98108324 US 98108 3249


Patients

Patient NumberTreatmentOutcomeDate
10 2011-10-04

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