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
Manufacturer
Degania Silicone LtdModel number
10MMCatalog 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.