inforMED
MalfunctionMAL

HEMASHIELD PLATINUM WOVEN

Received Jul 17, 2020 · Event occurred Jun 19, 2020

Report 1640201-2020-00013 · MDR key 10289312

Device

Generic name

Graft, Vascular, Synthetic/biologic Composite

Manufacturer

Intervascular Sas

Model number

M00202175130P0

Catalog number

M00202175130P0

Lot number

20E27

Product problems

  • Device Damaged Prior to Receipt by User
  • Device Damaged Prior to Receipt by User

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Description of Event or Problem

SEE INITIAL MFR REPORT # 1640201-2020-00013.COMPLAINT (B)(4).

Additional Manufacturer Narrative

THE DAMAGED PARCEL CONTAINING THE FIVE INVOLVED PRODUCTS WAS RETURNED TO INTERVASCULAR AND THE CONTENT WAS INSPECTED BY THE QUALITY ASSURANCE MANAGER FOR AN EVALUATION OF THE DAMAGE EXTENT. HE OBSERVED THAT AMONG THE FIVE PRODUCTS, TWO PRODUCTS SHOWED A PRODUCT PACKAGE DAMAGED AND THE THREE OTHER WERE NOT DAMAGED. THE ORIGIN OF THE DAMAGE WAS EVALUATED AS PROBABLY DUE TO A SHOCK DURING TRANSPORTATION BECAUSE ONE OF THE PRODUCT BOX WAS RIPPED OFF. THE PRODUCT INVOLVED IN THIS MDR WAS ONE OF THE 3 NON-DAMAGED PRODUCTS. THE CONDUCTED INVESTIGATION SUGGESTS THAT THE PRODUCT INVOLVED IN THIS MDR IS NOT DEFECTIVE.

Additional Manufacturer Narrative

ADDITIONAL NARRATIVE: ON BLOCK B3, THE EVENT DATE WAS SET ON (B)(6) 2020 AS IT WAS THE DAY THE DAMAGE WAS FOUND. HOWEVER THE PARCEL WAS IN TRANSIT FROM (B)(6)TO (B)(6), 2020, THEREFORE THE EVENT MAY HAVE OCCURRED BETWEEN THESE TWO DATES. THE REVIEW OF HISTORICAL DATA INDICATED THAT NO OTHER SIMILAR COMPLAINT WAS REPORTED FOR THE SAME STERILIZATION LOT NUMBER. IT WAS REPORTED THAT THE PRODUCT IS AVAILABLE FOR INVESTIGATION, IT SHOULD BE RETURNED TO INTERVASCULAR FOR EXAMINATION. THE INVESTIGATION IS STILL ONGOING. A FOLLOW-UP REPORT WILL BE SENT UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem

COMPAINT #(B)(4) - THIS MDR IS PART OF A SERIES OF 5 MDRS INVOLVING THE 5 PRODUCTS IN THE PARCEL. THE CUSTOMER REFUSED THE PARCEL AS IT WAS DAMAGED: CRUSHED AND WET.