NEOBLUE 001103

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 2018-01-09 for NEOBLUE 001103 manufactured by Natus Medical Incorporated.

Event Text Entries

[96821356] A replacement led panel was sent to customer to resolve issue. The led panel involved in the complaint was disposed by customer. No further investigation possible, if additional information becomes available natus will provide follow-up report.
Patient Sequence No: 1, Text Type: N, H10


[96821357] Natus medical received a complaint on (b)(6) 2017 that the intensity of their neoblue 3 unit was lower than specifications and could not be adjusted to meet specifications. The customer initially stated that intensity was measured with a natus neoblue radiometer at 28 [? ]w/cm2/nm on high and 11 [? ]w/cm2/nm on low. The customer requested ordering information for a replacement led panel, and tsr provided it. The customer confirmed there was no death/serious injury, delay in treatment, or environmental/safety concerns.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2018-00021
MDR Report Key7176969
Report SourceUSER FACILITY
Date Received2018-01-09
Date of Report2017-12-12
Date Mfgr Received2017-10-23
Device Manufacturer Date2009-01-01
Date Added to Maude2018-01-09
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 ContactMARC RIVAS
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal98108
Manufacturer Phone2062685142
Manufacturer G1NATUS MEDICAL INCORPORATED
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal Code98108
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNEOBLUE
Generic NameNEOBLUE 3
Product CodeLBI
Date Received2018-01-09
Model Number001103
Device AvailabilityN
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
10 2018-01-09

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