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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: NATUS MEDICAL INCORPORATED NT821731C, EDS 3, GEN LL, NO CATHETER

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NATUS MEDICAL INCORPORATED NT821731C, EDS 3, GEN LL, NO CATHETER Back to Search Results
Model Number NT821731C
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/28/2026
Type of Reportable Event Malfunction
Event or Problem Description
Nt821731c - evd stopcock break.No injuries.
 
Additional Manufacturer Narrative
Initial report ref to natus complaint# (b)(4).(b)(4) rev 13 risk analysis spreadsheet - eds 3 external drainage system.Hazard 4.36 - stopcock valve unable to turn / rotate and/or handle breakage.Effect (harm): delay in patient treatment, over / under drainage of csf and infection 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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Brand Name
NT821731C, EDS 3, GEN LL, NO CATHETER
Common Device Name
NT821731C, EDS 3, GEN LL, NO CATHETER
Manufacturer (Section D)
NATUS MEDICAL INCORPORATED
5955 pacific center boulevard
san diego CA 92121
Manufacturer (Section G)
NATUS MEDICAL INCORPORATED
5955 pacific center boulevard
san diego 92121
Manufacturer Contact
5955 pacific center boulevard
san diego, CA 92121
MDR Report Key24813548
Report Number2023988-2026-00047
Device Sequence Number21221404
Product Code JXG
UDI-Device Identifier00382830050555
UDI-Public00382830050555
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K162437
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 05/25/2026
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 Model NumberNT821731C
Device Catalogue NumberNT821731C
Device Lot Number118001157058
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 03/30/2026
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date04/08/2026
Supplement Report FDA Received Date05/25/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/09/2025
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
Patient Sequence Number1
Patient Age62 YR
Patient SexFemale
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