VAC PAC SIZE 30
Received May 29, 2024 · Event occurred Feb 27, 2024
Report 9612330-2024-00031 · MDR key 19414634
Device
Generic name
Vac Pac Size 30
Manufacturer
Natus Medical IncorporatedModel number
51630Catalog number
51630
Lot number
N041223-12
Product problems
- Component or Accessory Incompatibility
- Component or Accessory Incompatibility
Patient
NA · Unknown
- Pressure Sore/Ulcer
- Pressure Sore/Ulcer
Narrative
Additional Manufacturer Narrative
INITIAL REPORT REF NATUS COMPLAINT#(B)(4). PER (B)(4) REV E VAC-PAC RISK ANALYSIS HAZARD 13.3 - DELAYED/INTERRUPTED TREATMENT. VAC-PAC DOESN'T PROVIDE COMPLETE SUPPORT CAUSE - INAPPROPRIATE SIZE OF VAC-PAC USED RESIDUAL RISK - LOW. THE HAZARDS IDENTIFIED ARE ASSOCIATED WITH DELAYED/INTERRUPTED TREATMENT OF THE PATIENT DUE TO INAPPROPRIATE SIZE OF VAC-PAC USED. THE USER IS INSTRUCTED TO SELECT A VAC-PAC THAT IS APPROPRIATE FOR THE PROCEDURE AND PATIENT'S SIZE. THE USER IS ALSO INSTRUCTED THAT AN INCORRECT SIZE OF VAC PAC WILL DECREASE PATIENT STABILITY. THE BENEFITS ASSOCIATED WITH THE USE OF THE VAC-PAC DEVICE OUTWEIGH THE RESIDUAL RISK ASSOCIATED WITH THESE HAZARDS. TECHNICAL SERVICE SENT THE AE QUESTIONNAIRE TO THE CUSTOMER FOR COMPLETION AS INJURIES WERE REPORTED. THE CUSTOMER REPORTED THAT THEY WERE REQUESTING EDUCATIONAL INFORMATION. TECHNICAL SERVICE RESENT THE QUESTIONNAIRE TO THE CUSTOMER. MAY-28-2024 NO FURTHER FOLLOW UP ACTION HAS BEEN RECORDED OR CROSS REFERENCED IN THE SERVICE CALL FOR AT LEAST 45 DAYS. TECHNICAL SERVICE MADE MULTIPLE ATTEMPTS FOR THE RETURN OF THE AE QUESTIONNAIRE AND DEFECTIVE PART. REVIEW OF THE CUSTOMER'S ACCOUNT FOUND NO ADDITIONAL RELATED CALLS. NO RELATED CAPAS. FURTHER REVIEW OF DETAILS TO BE CARRIED OUT BEFORE FINAL CLOSURE.
Description of Event or Problem
VAC PAC SIZE 30 - INJURIES OCCUR AT PRESSURE POINTS SUCH AS BONY PROMINENCES.
Additional Manufacturer Narrative
FOLLOW UP REPORT 001 REF NATUS COMPLAINT#(B)(4). INSTALL DATE OF PART:(B)(6) 2023. THE COMPLAINT CASE IS NOW CLOSED. FAILURE CONFIRMED: NO. INVESTIGATION RESULT CODE: NEURO SBU/PRODUCT NOT RETURNED.
Description of Event or Problem
VAC PAC SIZE 30 - INJURIES OCCUR AT PRESSURE POINTS SUCH AS BONY PROMINENCES. 2 LOTS WERE IDENTIFIED, DOCUMENTING THE 2ND LOT.