MAUDE Adverse Event Report: NATUS MANUFACTURING LIMITED DANTEC CONCENTRIC NEEDLES

Model Number	9013S0032
Medical Device Problem Code	Material Twisted/Bent (2981)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	03/14/2022
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Initial report # (b)(6) on several different patients, during voluntary contraction (mainly iliopsoas, quadriceps and medial gastrocnemius muscles), the needles used were twisted).No injuries reported.Further investigation to be carried out.
Event or Problem Description
On several different patients, during voluntary contraction (mainly iliopsoas, quadriceps and medial gastrocnemius muscles), the needles used were twisted.No injuries reported.
Additional Manufacturer Narrative
Follow up report 001 #(b)(4).Pictures were provided from the customer of the affected parts.Affected parts to be returned from the customer.Parts to be evaluated and investigation results to be documented once they become available.
Event or Problem Description
On several different patients, during voluntary contraction (mainly iliopsoas, quadriceps and medial gastrocnemius muscles), the needles used were twisted.No injuries reported.
Event or Problem Description
On several different patients, during voluntary contraction (mainly iliopsoas, quadriceps and medial gastrocnemius muscles), the needles used were twisted.No injuries reported.
Additional Manufacturer Narrative
Follow up report 002 reference natus complaint (b)(4).Returns were received from the customer and visual inspection was carried out by engineering.No issues noted during inspection.It was confirmed that needles did not have blunt tips.There are no capa's related to this issue.The current risk file doc-010776 rev l hazard id 6.5 identifies this issue harm - patient discomfort during procedure may increase.Cause- needle is perceived as being more difficult to insert than expected / increased force required to insert the needle due to high friction.Severity- marginal (3).Risk level- minor (3).A risk review is not required as this complaint does not describe a new failure mode or new harm and the existing hazard severity and/or probability of occurrence has not changed.Complaints are reviewed routinely per quality system requirements (qms-004442 corporate trending and analysis procedure) complaint trends are assessed as part of these reviews.A review of complaint trending is completed quarterly.Last review doc-059297.No trend for this failure identified.Device history record - wo#276754 was reviewed, no issues noted during production.Release date: 29b/21/d - 16/08/2021.A search for service data that may be relevant to this issue has been conducted.No further information related to this issue found.Closure rationale: complaint could not be verified, monitor for future occurrence.

• Brand Name: DANTEC CONCENTRIC NEEDLES
• Common Device Name: DANTEC CONCENTRIC NEEDLES
• Manufacturer (Section D): NATUS MANUFACTURING LIMITED; ida business park; gort; galway, h91 pd92, ; EI
• Manufacturer (Section G): NATUS MANUFACTURING LIMITED; ida business park; gort; galway h91pd92, ; EI
• Manufacturer Contact: gráinne walsh ; ida business park; gort; galway, h91 pd92, ; EI
• MDR Report Key: 14184310
• Report Number: 3005581270-2022-00004
• Device Sequence Number: 6011057
• Product Code: IKT
• UDI-Device Identifier: 05704736002875
• UDI-Public: 05704736002875
• Combination Product (Y/N): N
• Initial Reporter Country: FR
• PMA/510(K) Number: K112034
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 07/13/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Expiration Date: 08/01/2024
• Device Model Number: 9013S0032
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 03/14/2022
• Supplement Date Received by Manufacturer: 03/14/2022; 03/14/2022
• Initial Report FDA Received Date: 04/22/2022
• Supplement Report FDA Received Date: 05/20/2022; 07/13/2022
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 06/17/2021
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown