inforMED
MalfunctionKGT

DRAPE, ADHESIVE, SEROSOL

Received Oct 12, 2020 · Event occurred Aug 25, 2020

Report 1000306225-2020-00008 · MDR key 10667484

Device

Generic name

Drape, Adhesive

Model number

32

Catalog number

3720 WITH 32

Product problems

  • Device Misassembled During Manufacturing /Shipping
  • Manufacturing, Packaging or Shipping Problem
  • Component Misassembled
  • Device Misassembled During Manufacturing /Shipping
  • Manufacturing, Packaging or Shipping Problem
  • Component Misassembled

Patient

Not reported

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

ON (B)(6) 2020, THE END-USER REPORTED THAT THEY NOTICED THAT THE REUSABLE SPLIT DRAPE ADHESIVE TAPE WAS NOT APPLIED CORRECTLY AFTER THE SURGICAL PROCEDURE. THE TAPE AREAS DIDN'T COME IN CONTACT WITH THE DRAPE LEFT POCKETS FOR POTENTIAL CONTAMINATION CONCERNS. A PICTURE OF THE REUSABLE SPLIT SHEET, AND THE ADHESIVE TAPE WAS EMAILED TO THE CLIENT RELATIONS REP; NO PRODUCT WAS RETURNED. BASED ON THE PICTURE, THE FACILITY TOOK THE FOLLOWING ACTIONS: THE CORPORATE QA/RA REVIEWED THE POLICIES AND PROCEDURES. THERE WERE NO CHANGES MADE. VERIFIED THE EXPIRATION DATE FOR THE ADHESIVE TAPE (MAY 2023). INFORMED APPROPRIATE STAFF MEMBERS OF THE COMPLAINT AND POSSIBLE OUTCOMES. PROVIDED REFRESHER TRAINING, AND VERIFIED EFFECTIVENESS THROUGH IN-PROCESS INSPECTIONS. REVIEWED PAST DATA FOR ANY TRENDING ISSUES/CONCERNS, NONE NOTED. THE DOCTOR DID NOT CHANGE THE CLASSIFICATION OF SURGERY, NOR PROVIDE ANY ADDITIONAL THERAPIES/STEPS. IF ANY ADDITIONAL INFORMATION BECOMES AVAILABLE, A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Description of Event or Problem

THE END USER REPORTED THAT THE ADHESIVE TAPE (ITEM #32) WAS NOT PLACE CORRECTLY ON THE REUSABLE SPLIT SHEET (ITEM #3720). THE DRAPE WOULD NOT ADHERE CORRECTLY THEREFORE, A STERILE BARRIER WAS NOT ACHIEVED.