HEMASHIELD PLATINUM WOVEN
Received Jul 17, 2020 · Event occurred Jun 19, 2020
Report 1640201-2020-00015 · MDR key 10289428
Device
Generic name
Graft, Vascular, Synthetic/biologic Composite
Manufacturer
Intervascular SasModel number
M00202175134P0Catalog number
M00202175134P0
Lot number
20D08
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 # 1640201-2020-00015. COMPLAINT # (B)(4).
Additional Manufacturer Narrative
(10/213) 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. (67) THE CONDUCTED INVESTIGATION SUGGESTS THAT THE PRODUCT INVOLVED IN THIS MDR IS NOT DEFECTIVE.
Additional Manufacturer Narrative
ON 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) 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, THIS COMPLAINT (#(B)(4)) EXCLUDED. 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
(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.