OLYMPIC BILI-METER 500075-T507

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 2017-08-02 for OLYMPIC BILI-METER 500075-T507 manufactured by Natus Medical Incorporated.

Event Text Entries

[82782986] Natus medical has launched an investigation into this event and will file a supplemental report once the investigation is complete.
Patient Sequence No: 1, Text Type: N, H10


[82782987] Natus medical received a complaint on (b)(6)2017 that their bili-meter was reading low measurements. A request has been made to return the product for evaluation and calibration. No patient injury reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2017-00535
MDR Report Key6762334
Report SourceUSER FACILITY
Date Received2017-08-02
Date of Report2017-07-03
Date Mfgr Received2017-07-03
Device Manufacturer Date2017-01-05
Date Added to Maude2017-08-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKYLE HORTON
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal98108
Manufacturer Phone2068343921
Manufacturer G1NATUS MEDICAL INCORPORATED
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal Code98108
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameOLYMPIC BILI-METER
Generic NameOLYMPIC BILI-METER
Product CodeMQM
Date Received2017-08-02
Model Number500075-T507
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerNATUS MEDICAL INCORPORATED
Manufacturer Address5900 FIRST AVENUE SOUTH SEATTLE WA 98108 US 98108

Device Sequence Number: 1

Brand NameOLYMPIC BILI-METER
Generic NameOLYMPIC BILI-METER
Product CodeJJQ
Date Received2017-08-02
Model Number500075-T507
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerNATUS MEDICAL INCORPORATED
Manufacturer Address5900 FIRST AVENUE SOUTH SEATTLE WA 98108 US 98108


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-08-02

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