ECHO-SCREEN II 5-KEY 1089

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 2019-02-06 for ECHO-SCREEN II 5-KEY 1089 manufactured by Natus Europe Gmbh.

Event Text Entries

[135191688] The suspected product was requested back to natus for evaluation. Investigation done by natus europe: chargers are operating due to spec. Polarity of charger plug checked. The exploded battery cell bears soot and is torn open at the top (positive pole). The battery housing is melted. Four remaining cells do not show visible damage. Pepi mode switch does not show visible damage. The root cause of the incident: apparently one cell of the battery (the only one which lies horizontal in the housing) got shorted and therefore overheated which led to the explosion. The pepi mod safety switch and the remaining four cells appear still operational. No initial corrective/preventive actions implemented by the manufacturer at this time. If additional information becomes available natus will file a follow up report.
Patient Sequence No: 1, Text Type: N, H10


[135191689] Customer reported that during charging of the battery the battery exploded pn#1089. The event occured during a time when the room was not occupied by anybody; however, the carpets caught fire and the fire brigade was called to extinguish the fire. The battery was disconnected from the mains by personnel before the fire fighters arrived. The customer did not report patient involvement, serious injury or delay in treatment and nobody was hurt during the incident.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2019-00001
MDR Report Key8311259
Report SourceUSER FACILITY
Date Received2019-02-06
Date of Report2018-10-02
Date of Event2018-09-25
Date Mfgr Received2018-10-02
Device Manufacturer Date2005-09-04
Date Added to Maude2019-02-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 EUROPE GMBH
Manufacturer StreetROBERT-KOCH-STR. 1
Manufacturer CityPLANEGG, GERMANY 82152
Manufacturer CountryGM
Manufacturer Postal Code82152
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameECHO-SCREEN II 5-KEY
Generic NameECHO-SCREEN II
Product CodeGWJ
Date Received2019-02-06
Model Number1089
Lot Number040905
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerNATUS EUROPE GMBH
Manufacturer AddressROBERT-KOCH-STR. 1 PLANEGG GERMANY 82152 GM 82152


Patients

Patient NumberTreatmentOutcomeDate
10 2019-02-06

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