inforMED
MalfunctionFZZ

RICHARD ALLEN REGULAR TIP PEN W/ RULER AND 6-UP LABELS

Received Jun 2, 2023 · Event occurred May 2, 2023

Report 3002750084-2023-00015 · MDR key 17046431

Device

Generic name

Skin Marker

Catalog number

2650

Lot number

301431, 296436, 307330

Product problems

  • Unsealed Device Packaging
  • Unsealed Device Packaging

Patient

Unknown

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

Narrative

Description of Event or Problem

ASPEN SURGICAL RECEIVED A REPORT FROM THE DISTRIBUTOR INDICATING THAT THREE SKIN MARKERS WERE DISCOVERED WITH SEALING ISSUES. THE ITEMS WERE NOT IN USE. NO INJURY OR DEATH WAS REPORTED. CUSTOMER REPORTED THE ISSUE FOR MULTIPLE LOT NUMBERS. LOT NUMBER AND RESPECTED COMPLAINT NUMBERS ARE AS FOLLOWS: (B)(4), LOT#: 301431; (B)(4), LOT#: 296436; (B)(4), LOT#: 307330.

Additional Manufacturer Narrative

ASPEN SURGICAL RECEIVED A REPORT FROM THE DISTRIBUTOR INDICATING THAT THE PRODUCT WAS FOUND WITH SEAL ISSUES. THE ACTUAL DEVICE WAS NOT RETURNED FOR EVALUATION. THE MANUFACTURING LOT NUMBER WAS PROVIDED FOR REVIEW. PHOTOGRAPHIC EVIDENCE WAS PROVIDED FOR REVIEW AS WELL. IF ANY ADDITIONAL RELEVANT INFORMATION IS IDENTIFIED, THE ADDITIONAL RELEVANT INFORMATION WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.