| Model Number |
NT821731C |
| Medical Device Problem Code |
Break (1069)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
03/17/2026
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Type of Reportable Event
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Malfunction
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Event or Problem Description
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Nt821731c - stopcock at the transducer broke.No injuries.
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Additional Manufacturer Narrative
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Initial report ref to natus complaint# (b)(4) (b)(4) rev 13 risk analysis spreadsheet - eds 3 external drainage system hazard 4.9 - the stopcock at the bottom of the burette tube fails during the operation (unable to turn the stopcock valve and/or breakage of the valve) effect (harm): over drainage/under drainage of csf residual risk: medium.The hazards identified have been reduced as far as possible, and the benefit of use of the entire product outweighs the risks identified.Related to capa005781.Further investigation to be carried out.
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Event or Problem Description
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Nt821731c - the evd broke at the stopcock to transducer.No injuries.
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Additional Manufacturer Narrative
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Follow up report 001 ref to natus complaint# (b)(4).Sterile date of the affected part: 16 sep 2025.Device history record review: unit has passed all the required tests.No manufacturing defects or non-conformances observed.Refelated to capa005781.Risk management review: a review of (b)(4) medical device hazard analysis (rev 14), identifies the hazard situation as "4.36 - stopcock valve unable to turn / rotate and/or handle breakage." the risk level is considered moderate.Based on complaint of "broken stopcock." this determination is based on the information received from the customer.Root cause/failure investigation: this case had a drainage system with a damaged system, patient-line, and drip chamber stopcock.The system stopcock was broken at the lever which is used to turn the stopcock into a closed or open position.The patient-line and drip chamber stopcock were broken at the hub.The system stopcock material exhibited significant deformation.The breakage of the system stopcock indicates that the user turned the stopcock with excessive torque possibly with a tool instead of by hand.Another possible indication could be that the client used aggressive cleaning agents that degrade the polycarbonate material.There was a buildup of dried blood/bodily fluids at the drip chamber stopcock.Assessment of whether bodily fluid exposure created an increased resistance during stopcock manipulation was inconclusive, as the device's rotational mechanisms were compromised due to structural breakage.Section "warnings" on page 3 of the eds 3 system ifu (sd208650001rev e) gives details on handling the eds 3 system such as finger tightening components and not using external tools.Failure mode: confirmed / stopcock breakage during use.
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Search Alerts/Recalls
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