inforMED
MalfunctionGEC

BD E-Z SCRUB

Received Mar 1, 2023 · Event occurred Feb 9, 2023

Report 1710034-2023-00164 · MDR key 16464221

Device

Generic name

Bd E-z Scrub

Catalog number

372053

Lot number

2229737

Product problems

  • Contamination
  • Contamination /Decontamination Problem
  • Contamination
  • Contamination /Decontamination Problem

Patient

Unknown

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

Narrative

Description of Event or Problem

MOLD FOUND ON PRODUCT CASE CARTON FOR SKU 372053, LOT 2229737, FROM MULTIPLE PALLETS IN RDC WAREHOUSE. DISCOVERED DURING OUTBOUND PICKING BY PICKER.

Additional Manufacturer Narrative

DATE OF REPORT: 01MAR2023: (B)(4). INITIAL MDR. A FOLLOW UP WILL BE SUBMITTED IF ADDITIONAL INFORMATION BECOMES AVAILABLE. (B)(6).

Additional Manufacturer Narrative

28 PHOTOS WERE AVAILABLE FOR EVALUATION. VISUAL EXAMINATION OF ALL PHOTOS IDENTIFIED MOLD GROWTH ON THE OUTER BOXES OF THE PALLET. THIS VERIFIED THE REPORTED ISSUE. A DEFINITIVE ROOT CAUSE COULD NOT BE DEFINED AT THIS TIME. QUERY OF ALL COMPLAINTS 2017 TO 24 FEB 2023 FOR SKU 372053 WAS PERFORMED. ELEVEN TOTAL COMPLAINTS WERE INVESTIGATED DURING THE PERIOD. NO RELATED COMPLAINTS WERE IDENTIFIED REGARDING THIS ISSUE, INCLUDING MOLD, CONTAMINATION, OR FOREIGN MATTER COMPLAINTS. THE QUERY PERFORMED DID NOT IDENTIFY ANY SPECIFIC COMPLAINTS FOR LOT 2229737. ENVIRONMENTAL MONITORING DATA WAS REVIEWED FOR THE AREA DURING THE MONTH OF PRODUCTION (AUGUST 2022) AND THE PRECEDING MONTH (JULY 2022) FOR THE SCRUB ASSEMBLY AND SCRUB MOLDING AREAS. ALL DATA IS WITHIN SPECIFICATION AND NO MOLD OR YEAST WAS IDENTIFIED FROM ENVIRONMENTAL MONITORING. ALL IMPACTED PRODUCT WAS CONTAINED AND DESTROYED ON FEBRUARY 20,2023 AT THE SINGAPORE RDC WAREHOUSE. THE COMPLAINT, QN AND ENVIRONMENTAL MONITORING DATA SUGGEST THAT THE MOLD WAS LIMITED TO THE SHIPPERS IDENTIFIED IN THE SINGAPORE WAREHOUSE. THE IMPACT TO ALL OTHER PRODUCT IS CONSIDERED LOW. NO FURTHER ACTIONS ARE REQUIRED. THIS FAILURE MODE WILL CONTINUE TO BE TRACKED AND TRENDED. H3 OTHER TEXT : SEE NARRATIVE BELOW.

Description of Event or Problem

MOLD FOUND ON PRODUCT CASE CARTON FOR SKU 372053, LOT 2229737, FROM MULTIPLE PALLETS IN RDC WAREHOUSE. ADDITIONAL INFORMATION RECEIVED 05-MAR-2023 ¿ FROM THE 8D REPORT, THERE IS A DISCREPANCY BETWEEN DATES. WHEN WAS THE ISSUE DISCOVERED? ATTACHED AMENDED 8D REPORT. ¿ WAS THE ISSUE FOUND ON THE OUTSIDE OF THE SHIPPERS ONLY, OR WAS IT ALSO FOUND IN THE INTERIOR OF THE SHIPPER, ON THE PRODUCT DISPENSER BOXES, OR THE INDIVIDUAL UNITS? INSPECTION PERFORMED IN CASE CARTON LEVEL ONLY. ¿ WAS THE CONTAMINATION CONFIRMED TO BE MOLD? YES ¿ IS THE PRODUCT PHYSICALLY DESTROYED? PRODUCT HAS BEEN PHYSICALLY SCRAPPED ON 20 FEB 2023. ADDITIONAL INFORMATION RECEIVED 05-MAR-2023 I HAVE RESPONDED TO THIS QUESTION VIA ANOTHER EMAIL THREAD. PLEASE REFER TO THE ATTACHED EMAIL FOR FURTHER DETAILS.