NEOBLUE COZY LED PHOTOTHERAPY SYSTEM 001354

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2018-08-09 for NEOBLUE COZY LED PHOTOTHERAPY SYSTEM 001354 manufactured by Natus Medical Incorporated.

Event Text Entries

[116712348] Natus technical service requested that the complainant fill out a questionnaire regarding the issue and any patient involvement. Natus technical service also asked if a solution had been found to the issue and appropriate results had been obtained by the ekg equipment. The complainant reported that the patient had been taken off of ekg monitoring after the event, and that there have been no similar issues reported since the event. The neoblue cozy and ekg equipment continue to be used by the user facility. The complainant believed the issue to be a one-off incident. Appendix b "electromagnetic specifications" of the neoblue cozy service manual 051915 rev. H states that the customer or user should assure that the neoblue cozy is used in the electromagnetic environment specified in table b. 1. Appendix b, table b. 1 states that the neoblue cozy led phototherapy system uses rf energy only for its internal function. Therefore, its rf emissions are very low and are not likely to cause any interference in nearby electronic equipment.
Patient Sequence No: 1, Text Type: N, H10


[116712349] It was reported to natus that a neoblue cozy unit was generating excessive artifacts in ekg equipment while ekg monitoring. The complainant tried multiple configurations of the ekg equipment and the neoblue cozy to limit the artifact but was unsuccessful. It was reported that the artifact only occurred in the presence of a neoblue cozy and not in the presence of an overhead neoblue unit. There was no report of death, serious injury, or environmental/safety concerns.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2018-00140
MDR Report Key7769051
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2018-08-09
Date of Report2018-07-10
Date Mfgr Received2018-07-10
Date Added to Maude2018-08-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJAMES FITZGERALD
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal98108
Manufacturer Phone2062685173
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 COZY LED PHOTOTHERAPY SYSTEM
Generic NameNEOBLUE COZY
Product CodeLBI
Date Received2018-08-09
Model Number001354
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
101. Other 2018-08-09

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