FILTER RETENTION PLATE

Additional Manufacturer Narrative

CORRECTED INFORMATION: BLOCK H8.

Description of Event or Problem

IT WAS REPORTED TO AESCULAP INC. THAT TWO (2) FILTER RETENTION PLATES (PART # JK100) (REF. ASSOCIATED MDR ID 9610612-2020-00909) WERE INSPECTED AFTER BEING BROUGHT TO THE OPERATING ROOM (OR) FOR USE DURING AN UNKNOWN PROCEDURE PERFORMED ON (B)(6) 2020. ACCORDING TO THE COMPLAINANT, BLACK SPECKS WERE OBSERVED ON THE CONTAINER BOTTOM. REPORTEDLY, THE DEBRIS WAS NOTED ON THE CONTAINERS PERFORATED BOTTOM WITHIN THE TWO (2) CIRCULAR RETENTION PLATE AREAS. NO PATIENT COMPLICATIONS OCCURRED AND NO SURGICAL DELAY WAS EXPERIENCED AS A RESULT OF THIS EVENT. ADDITIONAL INFORMATION HAS BEEN REQUESTED, BUT HAS NOT BEEN MADE AVAILABLE. THE MALFUNCTION IS FILED UNDER AAG REFERENCE XC (B)(4).

Additional Manufacturer Narrative

ASSOCIATED MEDWATCH REPORT: 9610612-2020-00836 (400491839 JK100); 9610612-2020-00909 (400494907 JK100). INVESTIGATION RESULTS. VISUAL INSPECTION. THE TWO FILTER RETENTION PLATES HAVE BEEN RECEIVED WITHOUT PACKAGING AND IN USED, DECONTAMINATED CONDITION. THE INITIAL VISUAL INSPECTION DID NOT SHOW CLEAR HINTS FOR "BLACK SPECS" AS REPORTED. ONLY AT THE RUBBER PART ON THE LOWER SIDE OF THE RETENTION PLATE (UNDER THE CENTER PLASTIC CAP), THERE WERE VERY LITTLE SMALL SPOTS VISIBLE, SIZE ABOUT 0,5 MILLIMETERS. ON THE TOP OF THE PLASTIC CAPS WITH THE MATERIAL INSCRIPTION AND MANUFACTURER NAME, THERE WERE HINTS FOR SCRATCHES. BATCH HISTORY REVIEW. WITHOUT A PROVIDED LOT NUMBER,A REVIEW OF THE DEVICE HISTORY RECORDS FOR THE COMPLAINED DEVICE IS NOT POSSIBLE. THE REVIEW OF RISK ASSESSMENT REVEALED THAT THE OVERALL RISK LEVEL (SEVERITY 1(5) PROBABILITY OF OCCURRENCE 2(5)) ACCORDING TO DIN EN ISO 14971 IS STILL ACCEPTABLE. CONCLUSION AND MEASURES / PREVENTIVE MEASURES: THE PARTICLES FOUND ON THE RECEIVED PRODUCTS WERE TOO SMALL TO CARRY OUT A LABORATORY CHECK FOR THE MATERIAL ORIGIN AND TO COMPARE IT WITH THE MATERIAL FROM THE CAP OF THE RETENTION PLATE. FURTHERMORE, A MICROSCOPICALLY INSPECTION WAS ALSO NOT POSSIBLE TO DETERMINE THE POTENTIAL ORIGIN OF THE PARTICLES FOUND ON THE RUBBER PARTS. HOWEVER, DUE TO THE FACT THAT THE TOP OF THE RETENTION PLATE CAPS SHOW SCRATCH MARKS AND IN CONNECTION WITH THE RECEIVED INFORMATION THAT THE RETENTION PLATES WERE INSTALLED AT THE BOTTOM PART OF THE PERFORATED CONTAINER BOTTOM, IT IS LIKELY THAT THE LOAD OF THE CONTAINER GOT IN CONTACT WITH THE TOP OF THE RETENTION PLATE CAPS. FURTHERMORE, IT WAS NOTED BY THE CUSTOMER THAT THIS EFFECT ONLY HAPPENED WITH A SPECIFIC SET. DEPENDING ON THE LOAD WEIGHT AND ALSO THE KIND OF BASKET USED, IT IS POSSIBLE THAT THE BASKET MATERIAL TOUCHED THE TOP OF THE RETENTION PLATE CAPS AND SCRATCHED OFF SMALL PARTICLES OF THE MATERIAL, CAUSING BLACK SPECS AS REPORTED BY THE CUSTOMER. THIS CIRCUMSTANCE (MAXIMUM LOADS) IS MENTIONED IN THE INSTRUCTIONS FOR USE ACCORDINGLY (SECTION "4.3. SAFE OPERATION" AS WELL AS IN THE TROUBLESHOOTING LIST). THE MICROSCOPICALLY INSPECTION DID NOT INDICATE ANY HINTS FOR A MATERIAL OR MANUFACTURING DEFECT ON BOTH RECEIVED RETENTION PLATES. BASED ON THE INVESTIGATION RESULTS NO CAPA IS NECESSARY.

Additional Manufacturer Narrative

MANUFACTURING SITE EVALUATION: INVESTIGATION ON-GOING. ADDITIONAL INFORMATION / INVESTIGATION RESULTS WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS AN ISSUE WITH JK100 - FILTER RETENTION PLATE. ACCORDING TO THE COMPLAINT DESCRIPTION, THE CUSTOMER FOUND BLACK SPECS AT THE BOTTOM OF THE CONTAINER. THE BLACK SPECS CAME OUT OF THE RETENTION PLATE CIRCLE AREA. THERE WAS NO DESCRIBED PATIENT HARM AND NO DELAY IN SURGERY. ADDITIONAL INFORMATION WAS NOT PROVIDED NOR AVAILABLE / WAS NOT AVAILABLE. THE ADVERSE EVENT / MALFUNCTION IS FILED UNDER AAG REFERENCE (B)(4).