inforMED
MalfunctionOTK

FLUTED F.D 10MM WHITE (HUB) STERILE

Received Feb 20, 2022

Report 8030107-2022-00001 · MDR key 13565447

Device

Generic name

Fluted F.d 10mm White (hub) Sterile

Model number

10MM

Catalog number

11101401080CR

Lot number

P2100206

Product problems

  • Material Rupture
  • Material Rupture

Patient

Unknown

  • Device Embedded In Tissue or Plaque
  • No Clinical Signs, Symptoms or Conditions
  • Device Embedded In Tissue or Plaque
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THERE WERE NO NON-CONFORMITIES DETECTED DURING THE BATCH HISTORY REVIEW AND TESTING OF THE RETAIN SAMPLE. THE DRAIN COULD TEAR DUE TO DAMAGE IN USE. THE COMPLAINT CONSIDERED TO BE NOT JUSTIFIED; NO CAPA IS REQUIRED IN THIS CASE.

Description of Event or Problem

THE DRAIN HAS COME APART IN THE TUBE-WHITE PROFILE CONNECTION. THIS HAS CAUSED A LONGER OPERATION AND ALSO A RE-OPERATION ON ANOTHER PATIENT. AS PER CUSTOMER THERE WAS NO INJURY REPORTED. THE DRAIN BROKE INSIDE THE PATIENT WHILE THEY WERE ATTEMPTING TO REMOVE IT FROM THE PATIENT. AN ADDITIONAL SURGERY WAS DONE TO REMOVE THE BROKEN DRAIN WHICH LASTED FOR 15 MINUTES. PATIENT IS DOING WELL.