N/A
Received Jul 14, 2010 · Event occurred Mar 11, 2010
Report 1056128-2010-00035 · MDR key 1756454
Device
Generic name
Nmf
Manufacturer
Ascent Halthcare SolutionsModel number
11165Catalog number
11165
Lot number
879990
Product problems
- Nonstandard Device
- Pressure Problem
Patient
Not reported
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
IT WAS REPORTED THAT THE DEVICE WOULD NOT HOLD PRESSURE. NO PATIENT INJURY WAS REPORTED.
Additional Manufacturer Narrative
THIS MDR IS ASSOCIATED WITH AN ASCENT VOLUNTARY RECALL FOR SIX (6) FEMOSTOP LOT NUMBERS WHERE THE DEVICE MAY FAIL TO INFLATE PROPERLY AND MAY LEAK DUE TO A SEAL SEPARATION BETWEEN THE DOME AND PLASTIC ARCH BASE. INITIALLY THIS WAS NOT CONSIDERED A MDR REPORTABLE EVENT BECAUSE THERE WAS NO PATIENT INJURY, MEDICAL INTERVENTION WAS NOT REQUIRED, AND ASCENT HAD NO HISTORY OF ANY PATIENT INJURY DUE TO THIS TYPE OF MALFUNCTION. ON JUNE 18TH ASCENT INITIATED A VOLUNTARY RECALL FOR THE SIX FEMOSTOP LOT NUMBERS SO THIS MDR IS BEING FILED DUE TO THE RECALL. THE PATIENT INFORMATION WAS NOT PROVIDED TO ASCENT.
Remedial action
- Recall