inforMED
MalfunctionGEC

BD E-Z SCRUB

Received Nov 17, 2021 · Event occurred Aug 26, 2021

Report 1710034-2021-00960 · MDR key 12825295

Device

Generic name

Impregnated Preoperative Scrub Brushes (3% Chloroxylenol (pcmx))

Manufacturer

Bd Sandy

Model number

371603

Catalog number

371603

Lot number

0328903

Product problems

  • Unsealed Device Packaging
  • Unsealed Device Packaging

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

NO SAMPLES OR PHOTOS WERE PROVIDED FOR EVALUATION. AS A RESULT, BD WAS UNABLE TO VERIFY THE REPORTED ISSUE OR DETERMINE A DEFINITIVE ROOT CAUSE AT THIS TIME. REVIEW OF DEVICE HISTORY REVIEW DID NOT FIND ANY ATTRIBUTABLE DEFICIENCIES THAT WOULD LEAD TO THIS ISSUE. REVIEW OF RISK MANAGEMENT DOCUMENT SHOWS THAT SEVERITY FOR STERILE PRODUCTS FOR LEAKING SEAL IS ACCEPTABLE WITH A REMOTE OCCURRENCE FOR THIS DEFECT AND PATIENT INFECTIONS/COMPLICATIONS BEING THE POTENTIAL FAILURE MODE. POSSIBLE CAUSES OF THIS ISSUE COULD BE RESULT OF INCORRECT SET UP OR REJECTED PRODUCT BEING INADVERTENTLY INTRODUCED BACK INTO THE PRODUCT STREAM. REVIEW OF THE BATCH RECORD SHOWS THAT PRODUCTION WAS PERFORMED AS SPECIFIED AND ALL IN-PROCESS QUALITY CHECKS MET ESTABLISHED SPECIFICATIONS. REVIEW OF LOT HISTORY SHOW NO NON-CONFORMANCE EVENTS ISSUED FOR THIS LOT. ROOT CAUSE FOR THIS ISSUE CANNOT BE ESTABLISHED AT THIS TIME. ANY FUTURE COMPLAINTS WILL CONTINUE TO BE MONITORED FOR THIS LOT AND ASSESSED. H3 OTHER TEXT : SEE NARRATIVE BELOW.

Description of Event or Problem

IT WAS REPORTED THAT THE PACK WAS OPENED. VERBATIM: DESCRIBE THE EVENT OR PROBLEM: BD E-Z SCRUB 160 SURGICAL SCRUB BRUSH/SPONGE WITH NAIL CLEANER PACK WAS OPENED AND NOTED TO HAVE BLACK DEBRIS ON THE SPONGE.

Additional Manufacturer Narrative

PR (B)(4) INITIAL EMDR SUBMISSION. A FOLLOW UP EMDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION BECOMES AVAILABLE. (B)(4).

Description of Event or Problem

IT WAS REPORTED THAT THE PACK WAS OPENED. DESCRIBE THE EVENT OR PROBLEM: BD E-Z SCRUB 160 SURGICAL SCRUB BRUSH/SPONGE WITH NAIL CLEANER PACK WAS OPENED AND NOTED TO HAVE BLACK DEBRIS ON THE SPONGE.