inforMED
MalfunctionDYN

MONOJECT SALIVA EJECTOR

Received Nov 26, 1997 · Event occurred Oct 25, 1997

Report 1314426-1997-00025 · MDR key 134831

Device

Generic name

Saliva Ejector

Model number

NA

Catalog number

8881-450004

Lot number

452125

Product problems

  • Detachment Of Device Component

Patient

15 YR

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

SAMPLES FROM THE SAME LOT WERE RETURNED AND EVALUATED. NO PRODUCT PROBLEMS WERE IDENTIFIED. MFG WAS ASKED TO EVALUATE THE SAMPLES. PROBLEMS WERE IDENTIFIED IN THE BOND ASSEMBLY OF LOTS PRODUCED IN THE SAME TIME FRAME. CORRECTIVE ACTION WAS LITIATED ON THE BOND EQUIPMENT. ALSO, ADD'L PRODUCTION CHECKS AND QA TESTING FOR TIP SECURITY WERE ADDED.

Description of Event or Problem

CUSTOMER REPORTED THAT ON SATURDAY 10/25/97, DURING SURGERY THE TIP CAME OFF AN EJECTOR IN THE PT'S MOUTH. THE NURSE CHECKED THE PT'S MOUTH WITH HER HAND AND COULD NOT FIND THE TIP. THE PHYSICIAN WAS ASKED TO ASSIST AND LOCATED THE TIP AT THE BACK OF THE PT'S TEETH WITH A LARYNGOSCOPE. NO INJURY WAS REPORTED.