NEOBLUE MINI LED PHOTOTHERAPY SYSTEM 040823

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 2018-01-30 for NEOBLUE MINI LED PHOTOTHERAPY SYSTEM 040823 manufactured by Natus Medical Incorporated.

Event Text Entries

[98976657] The complainant inquired about ordering information for a replacement led panel and constant current pcb, which natus technical service provided. Natus received a purchase order for a replacement constant current pcb on 1/5/2018, and the part was delivered to the complainant on 1/8/2018.
Patient Sequence No: 1, Text Type: N, H10


[98976658] Natus received a report that the intensity of a neoblue mini device could not be adjusted to meet specifications. The complainant reported intensity of 2-3 uw/cm^2/nm when the potentiometer was adjusted to its maximum setting. A natus neoblue radiometer (calibration due 10/2018) was used to measure intensity. The neoblue mini service manual states that the light intensity specification is greater than or equal to 30 uw/cm^2/nm as measured by a neoblue radiometer. There was no report of death, serious injury, delay in treatment, or environmental/safety concerns.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2018-00080
MDR Report Key7229679
Report SourceUSER FACILITY
Date Received2018-01-30
Date of Report2018-01-02
Date Mfgr Received2017-01-02
Device Manufacturer Date2005-09-19
Date Added to Maude2018-01-30
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
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNEOBLUE MINI LED PHOTOTHERAPY SYSTEM
Generic NameNEOBLUE MINI
Product CodeLBI
Date Received2018-01-30
Model Number040823
Device Availability*
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 2018-01-30

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