VENOSCOPE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2016-12-07 for VENOSCOPE manufactured by .

Event Text Entries

[61724384] Received package of two nt01 neonatal transilluminators from (b)(6), biomed, on 10/20/2016 stating that he had a complaint that one of the two lights had caused a burn, but the staff was not sure which one. Mr. (b)(6) stated that he had seen the baby when he picked up the lights and the "burn" appeared to be minor showing a small reddish area. Both units were tested, using time/temp method, and were found to be well within the safe range when used according to the caution label which states that "do not leave light on baby's skin for an extended period of time (4 minutes or more). Check frequently for any heat buildup due to extended use". The unit was "on skin off/on for 2 minute period" which, according to tests, would not have generated sufficient heat to harm the baby. They did not state how many 2 minute periods it was used or how long the light was allowed to cool between uses. Returned both lights to (b)(6), biomed, along with the time/temp studies and a complaint disposition form.
Patient Sequence No: 1, Text Type: N, H10


[61724385] See user facility description of event previously submitted.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2319429-2016-00001
MDR Report Key6152554
Report SourceUSER FACILITY
Date Received2016-12-07
Date Mfgr Received2016-10-31
Device Manufacturer Date2005-10-01
Date Added to Maude2016-12-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactMR. FRANK CREAGHAN
Manufacturer Street1018 HARDING ST. SUITE 104
Manufacturer CityLAFAYETTE LA 70503
Manufacturer CountryUS
Manufacturer Postal70503
Manufacturer Phone8002847655
Manufacturer G1VENOSCOPE, LLC
Manufacturer Street1018 HARDING ST. SUITE 104
Manufacturer CityLAFAYETTE LA 70503
Manufacturer CountryUS
Manufacturer Postal Code70503
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVENOSCOPE
Generic NameNEONATAL TRANSILLUMINATOR
Product CodeHJN
Date Received2016-12-07
Device Availability*
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
10 2016-12-07

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