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 2018-01-10 for NEOBLUE 001103 manufactured by Natus Medical Incorporated.

Event Text Entries

[96967280] Natus tech support walked the customer through and got the device to proper intensity levels. Several attempts have been made to get additional information from customer, without any response. If additional information becomes available natus will provide a supplemental report.
Patient Sequence No: 1, Text Type: N, H10


[96967281] Natus received a complaint on (b)(6)2017 customer reported that their neoblue3 having low intensity. It was measured with ohmeda biliblanket meter ii and the readings were: _at high setting: 26 [? ]w/cm2/nm [lower than spec]_at low setting: 9 [? ]w/cm2/nm [lower than spec]. Several attempts have been made to get additional information from customer. The customer confirmed there was delay in treatment, but no death/serious injury or environmental/safety concerns.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2018-00023
MDR Report Key7179966
Report SourceUSER FACILITY
Date Received2018-01-10
Date of Report2017-12-12
Date Mfgr Received2017-12-12
Device Manufacturer Date2015-03-03
Date Added to Maude2018-01-10
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 ContactANA SZUCS
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal98108
Manufacturer Phone2062685133
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 Details

Brand NameNEOBLUE
Generic NameNEOBLUE 3
Product CodeLBI
Date Received2018-01-10
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 2018-01-10

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