AURICAL FREEFIT 8-62-49100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2020-02-28 for AURICAL FREEFIT 8-62-49100 manufactured by Natus Medical Denmark Aps.

Event Text Entries

[184634012] It wa reported that the aurical freefit / unit will not power up. Staff reports someone left a normal battery in the freefit and it exploded. Staff has tested the freefit with new batteries and confirmed it does not work. Staff confirms the aurical is undamaged and still works. Customer called asking for the e-mail address where to send the images. Technical service gave him (b)(6), he will e-mail the images. Customer has been advised to return the device for evaluation - natus is currently awaiting the return of the device for further investigation. A questionnaire has been emailed to technical service to establish circumstances and gain more information around the event. Capa (b)(4) is currently open to investigate the issue. Justification for not providing below information and applicable sections: patient information - no patient injury reported, device malfunction occurred. Date of event - date of event requested from the customer but information not yet provided relevant tests / laboratory data - this section is not applicable as no patient injury occurred. Other relevant history, including preexisting medical conditions: this section is not applicable as no patient injury occurred. Suspect products - not applicable if implanted date (mm/dd/yyyy) - this section is not applicable as the medical device is not implantable. If explanted date (mm/dd/yyyy) - this section is not applicable as the medical device is not implantable. Preprocessor name and address - this section is not applicable as the medical device is not a single-use device that was reprocessed or reused on a patient. Concomitant medical products and therapy dates (excluding treatment of event) - this section is not applicable to this type of device for use by user facility / importer - not applicable as we are not a facility or importer of device. If nd, give protocol # - this section is not applicable as the medical device is not ind. Adverse event terms - this section is not applicable to medical devices. If remedial action initiated , check type - this section is not applicable as no remedial action was initiated. If action reported to fda under 21 usc 360i (f), list correction / removal reporting number - this section is not applicable as there was no action reported under 21usc 360i(f).
Patient Sequence No: 1, Text Type: N, H10


[184634013] Aurical freefit / unit will not power up. Warm transfer staff reports someone left a normal battery in the freefit and it exploded. Staff has tested the freefit with new batteries and confirmed it does not work. Staff confirms the aurical is undamaged and still works.
Patient Sequence No: 1, Text Type: D, B5


[187749981] Update 26th march 2020. Customer has been advised to return the device for evaluation - natus is currently awaiting the return of the device for further investigation. A questionnaire has been emailed to technical service to establish circumstances and gain more information around the event. No further information available at this time. Capa(b)(4) is currently open to investigate the issue.
Patient Sequence No: 1, Text Type: N, H10


[187749983] Aurical freefit / unit will not power up. Warm transfer staff reports someone left a normal battery in the freefit and it exploded. Staff has tested the freefit with new batteries and confirmed it does not work. Staff confirms the aurical is undamaged and still works.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9612197-2020-00005
MDR Report Key9769704
Report SourceDISTRIBUTOR
Date Received2020-02-28
Date of Report2020-03-26
Date Mfgr Received2020-02-22
Date Added to Maude2020-02-28
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 ContactMS CLAIRE KENNEDY
Manufacturer StreetHORSKAETTEN 9 DK-2630
Manufacturer CityTAASTRUP, TAASTRUP DK-2630
Manufacturer CountryDA
Manufacturer PostalDK-2630
Manufacturer G1NATUS MANUFACTURING LTD
Manufacturer StreetIDA BUSINESS PARK GORT
Manufacturer CityCO. GALWAY, CONNAUGHT H91PD92
Manufacturer CountryEI
Manufacturer Postal CodeH91PD92
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAURICAL FREEFIT
Generic Name1053 FREEFIT MODULE, PRODUCT CODE
Product CodeETW
Date Received2020-02-28
Model Number8-62-49100
Catalog Number8-62-49100
Lot Number208732
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerNATUS MEDICAL DENMARK APS
Manufacturer AddressHORSKAETTEN 9 DK-2630 TAASTRUP, DENMARK US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-28

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