inforMED
MalfunctionLKB

SITE SCRUB IPA STERILE

Received Jul 29, 2021 · Event occurred Jun 22, 2021

Report 3006260740-2021-03005 · MDR key 12247035

Device

Generic name

Pad, Alcohol, Device Disinfectant

Model number

N/A

Catalog number

3882100

Lot number

JUEV0549

Product problems

  • Defective Component
  • Defective Component

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. A LOT HISTORY REVIEW (LHR) OF JUEV0549 SHOWED TWO OTHER SIMILAR PRODUCT COMPLAINT(S) FROM THIS LOT NUMBER.

Description of Event or Problem

IT WAS REPORTED THE BARD SITE SCRUB COMPONENT WITHIN THE KIT HAS BEEN COMING UP DRY. NO DELAY IN PROCEDURES, ANOTHER KIT WOULD BE OPENED AND USED OR INJURY/MEDICAL TREATMENT AS A RESULT. IT WAS STATED THIS OCCURRED AT LEAST THREE TIMES. NO OTHER INFORMATION REGARDING QUANTITY OR OCCURRENCES WAS PROVIDED. THIS REPORT ADDRESSES THE THIRD OCCURRENCE.