inforMED
MalfunctionLKB

SWAB ALCOHOL 100 BX 1200

Received Nov 17, 2020 · Event occurred Oct 23, 2020

Report 1920898-2020-01579 · MDR key 10849722

Device

Generic name

Pad, Alcohol, Device Disinfectant

Catalog number

326895

Lot number

UNKNOWN

Product problems

  • Device Markings/Labelling Problem
  • Device Markings/Labelling Problem

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

IT WAS REPORTED THAT SWAB ALCOHOL 100 BX 1200 WAS MISSING THE EXPIRATION DATE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: MATERIAL NO: 326895 BATCH NO: 3206178. IT WAS REPORTED THAT THE CONSUMER WANTED TO KNOW THE EXPIRATION DATE ON THE BOX.

Additional Manufacturer Narrative

H.6. INVESTIGATION: NO SAMPLES (INCLUDING PHOTOS) WERE RETURNED THEREFORE THE COMPLAINT COULD NOT BE CONFIRMED AND THE ROOT CAUSE IS UNDETERMINED. DUE TO THIS BATCH BEING MANUFACTURED IN (B)(4), FILES ARE RETAINED FOR 7 YEARS, NO DHR REVIEW CAN BE COMPLETED.

Additional Manufacturer Narrative

DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. MEDICAL DEVICE LOT #: THE CUSTOMER PROVIDED LOT # 3206178. THIS DOES NOT MATCH THE CATALOG NUMBER PROVIDED. MEDICAL DEVICE EXPIRATION DATE: UNKNOWN. THE CUSTOMER'S ADDRESS IS UNKNOWN. (B)(6), USA HAS BEEN USED AS A DEFAULT. A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED, BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED. DEVICE MANUFACTURE DATE: UNKNOWN. (B)(4).

Description of Event or Problem

IT WAS REPORTED THAT SWAB ALCOHOL 100 BX 1200 WAS MISSING THE EXPIRATION DATE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: MATERIAL NO: 326895, BATCH NO: 3206178. IT WAS REPORTED THAT THE CONSUMER WANTED TO KNOW THE EXPIRATION DATE ON THE BOX.