inforMED
MalfunctionFGY

VACUETTE PLASTIC CANNULA HOLDEX STERILE

Received Nov 2, 2020

Report 8020040-2018-00025 · MDR key 10771008

Device

Generic name

Tube Holder

Model number

450216

Catalog number

450216

Lot number

A18054UP

Product problems

  • Break

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

COMPLAINT (B)(4). RECEIVED 15PCS 450261/A18054UP FOR EVALUATION. WE HAVE NO FURTHER INVENTORY OF THE MATERIAL/BATCH. WE HAVE NO FURTHER COMPLAINTS ON THE MATERIAL/BATCH. WE FORWARDED THE COMPLAINT AND SAMPLES TO OUR AFFILIATED HEADQUARTERS IN (B)(4) FROM WHICH WE RECEIVE THIS PRODUCT. ACCORDING TO THEIR INVESTIGATION AND COMMENTS, A REVIEW OF PRODUCTION DOCUMENTATION OF THE CONCERNED MATERIAL/BATCH SHOWS NO IRREGULARITIES RELATED TO THE REPORTED ERROR. THE CUSTOMER RETURNED SAMPLES WERE VISUALLY CHECKED; NO DEVIATIONS WERE OBSERVED. SAMPLES WERE FUNCTIONALLY CHECKED; NO ABNORMALITIES WERE DETECTED. IN ADDITION, THE TENSILE STRENGTH TEST DID NOT REVEAL ANY DEVIATIONS. THE COMPLAINT COULD NOT BE CONFIRMED.

Description of Event or Problem

CUSTOMER STATES THE NEEDLE BROKE UPON INSERTION OF THE TUBE.