HEMASHIELD PLATINUM WOVEN STRAIGHT
Received Nov 29, 2021 · Event occurred Oct 29, 2021
Report 1640201-2021-00035 · MDR key 12881193
Device
Generic name
Graft, Vascular, Synthetic/biologic Composite
Manufacturer
Intervascular SasModel number
M00202175428P0Catalog number
M00202175428P0
Lot number
21G28
Product problems
- Device Damaged Prior to Use
- Device Damaged Prior to Use
Patient
Prefer Not To Disclose
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
ON DATE OF EVENT, THE EVENT DATE WAS SET ON (B)(6) 2021, AS IS WAS THE DAY THE PRODUCT DAMAGED WAS RECEIVED BY THE CUSTOMER. THE DAMAGE TO THE PRODUCTS OCCURRED BETWEEN THE DAY OF SHIPMENT AND THE DAY OF RECEIPT, WHICH IS BETWEEN (B)(6) 2021. THE REVIEW OF HISTORICAL DATA INDICATED THAT NO OTHER SIMILAR COMPLAINT WAS REPORTED FOR THE SAME STERILIZATION LOT NUMBER 21G28. AS THE DEFECTS APPEAR OBVIOUS ON THE PICTURES PROVIDED, A VISUAL INSPECTION BASED ON PICTURES RECEIVED WAS PERFORMED BY OUR QA SUPERVISOR. HIS CONCLUSION IS AS FOLLOWS : " BASED ON THE PICTURES, I CONFIRM THAT THE PRODUCT IN THE STATE IS NOT IN CONFORMITY. A DAMAGE DURING TRANSPORTATION SEEMS TO BE THE MOST PROBABLE ROOT CAUSE. " THE MOST PROBABLE ROOT CAUSE OF THIS EVENT IS AN IMPROPER HANDLING OF THE PACKAGE DURING TRANSPORT. AN INTERNAL NON-CONFORMITY REPORT HAS BEEN INITIATED IN ORDER TO TAKE APPROPRIATE ACTION.
Description of Event or Problem
THE CUSTOMER REFUSED DELIVERY DUE TO DAMAGE: THE PIECE IS BROKEN EVEN THE BOX INSIDE IS DAMAGED BUT THE CONTENTS ARE INTACT. COMPLAINT # (B)(4).