inforMED
MalfunctionMMX

BARD SNARE RETRIEVAL KIT

Received Apr 27, 2023 · Event occurred Feb 27, 2023

Report 3008988055-2023-00001 · MDR key 16822734

Device

Generic name

Percutaneous Retrieval Device

Model number

SRK35

Catalog number

SRK35

Lot number

9007799412

Product problems

  • Tear, Rip or Hole in Device Packaging
  • Tear, Rip or Hole in Device Packaging

Patient

Unknown

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

Narrative

Description of Event or Problem

IT WAS REPORTED THAT PRIOR TO THE SNARE RETRIEVAL PROCEDURE, AN OPENING WAS ALLEGEDLY FOUND AT THE EDGE OF THE SEAL. THE PROCEDURE WAS COMPLETED USING ANOTHER DEVICE. THERE WAS NO PATIENT CONTACT.

Additional Manufacturer Narrative

THIS SUBMISSION DOES NOT CONSTITUTE A DETERMINATION OR ADMISSION THAT THE DEVICE HAS MALFUNCTIONED OR THAT THE DEVICE WAS RELATED TO A DEATH OR INJURY. COMPLAINT INVESTIGATION RESULTS: ACCORDING WITH THE EVENT DESCRIPTION PROVIDED BY THE CUSTOMER, THE PICTURES AND SAMPLE EVALUATION, AND DHR REVIEW IT CAN BE CONCLUDED THE REPORTED EVENT CANNOT BE CONSIDERED AS A MANUFACTURER RELATED ISSUE, BASED ON THE FOLLOWING FACTS: NO DEVIATIONS TO ESTABLISHED PROCEDURES OR NONCONFORMANCES RELATED TO THE EVENT DESCRIPTION WERE IDENTIFIED IN THE RECORD REVIEW. EVALUATING THE PICTURES AND SAMPLE PROVIDED BY THE CUSTOMER, IT WAS FOUND EVIDENCE THAT EXCESS OF FORCES, CAUSED DUE TO AN INADEQUATE HANDLING, COULD DAMAGE THE PRODUCT, BACKER CARD AND POUCH SURFACES. IN-PROCESS CONTROLS ARE CONSIDERED ROBUST ENOUGH TO DETECT SIMILAR DAMAGES DURING THE PACKAGING AND SEALING PROCESSES OF THE SNARE KIT. THIS IS THE FIRST EVENT REPORTED FOR SIMILAR ISSUES. THE PROCESS CONTROLS ESTABLISHED IN RISK MANAGEMENT DOCUMENTATION OF SIMILAR FAILURE MODES, WERE REVIEWED AND NOT DEVIATIONS OR NONCONFORMANCES RELATED TO THEM WERE IDENTIFIED THEREFORE, THERE IS NO EVIDENCE TO CONFIRM THE ISSUE IS DUE TO THE MANUFACTURING PROCESS.