EMU40 BREAKOUT BOX 10406-R

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2018-11-28 for EMU40 BREAKOUT BOX 10406-R manufactured by Natus Medical Inc. Dba Excle-tech Ltd (xltek).

Event Text Entries

[129357802] In compliance with 21cfr part 820. 198 - quality system regulations and natus quality management system, we initiated the investigation of the event. Issue confirmed. Following 21cfr part 806, natus determined that field corrective action is requried. The fca is in progress to advise users to stop using the device if they observe the burning smell.
Patient Sequence No: 1, Text Type: N, H10


[129357803] The device had a burning smell and very hot to touch. No pateint/user injury.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9612330-2018-00019
MDR Report Key8110444
Report SourceHEALTH PROFESSIONAL
Date Received2018-11-28
Date of Report2018-06-21
Date of Event2018-06-20
Date Mfgr Received2018-06-21
Date Added to Maude2018-11-28
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR SANJAY MEHTA
Manufacturer Street2568 BRISTOL CIRCLE
Manufacturer CityOAKVILLE, ONTARIO L6H5S1
Manufacturer CountryCA
Manufacturer PostalL6H5S1
Manufacturer G1NATUS MEDICAL INCORPORATED DBA EXCEL-TECH (XLTEK)
Manufacturer Street2568 BRISTOL CIRCLE
Manufacturer CityOAKVILLE, ONTARIO L6H5S1
Manufacturer CountryCA
Manufacturer Postal CodeL6H5S1
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameEMU40 BREAKOUT BOX
Generic NameELECTROENCEPHALOGRAPH
Product CodeGWQ
Date Received2018-11-28
Model Number10406-R
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerNATUS MEDICAL INC. DBA EXCLE-TECH LTD (XLTEK)
Manufacturer Address2568 BRISTOL CIRCLE OAKVILLE, OAKVILLE ONTARIO L6H 5S1 CA L6H 5S1


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-11-28

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