inforMED
MalfunctionLKB

SITE SCRUB IPA STERILE

Received Sep 17, 2021 · Event occurred Aug 23, 2021

Report 3006260740-2021-03886 · MDR key 12492522

Device

Generic name

Pad, Alcohol, Device Disinfectant

Catalog number

3882100

Lot number

JUEV0567

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 JUEV0567 SHOWED TWO OTHER SIMILAR PRODUCT COMPLAINT(S) FROM THIS LOT NUMBER. THE COMPLAINTS FOR THIS LOT NUMBER HAVE BEEN REPORTED FROM THE SAME FACILITY.

Description of Event or Problem

IT WAS REPORTED BY HEALTHCARE PROFESSIONAL THAT THREE KITS WERE OPENED FOR A CLASS AND THE SITE SCRUB WAS DRY IN ALL OF THEM. THIS REPORT ADDRESSES THE SECOND DEVICE.