inforMED
MalfunctionEHZ

HVE (HIGH VOLUME EVACUATOR) TIPS

Received Dec 1, 2023 · Event occurred Nov 2, 2023

Report 1319130-2023-00014 · MDR key 18247340

Device

Generic name

Slotted Evacuator Tips

Model number

22357410

Lot number

22740091 & 20908322

Product problems

  • Insufficient Device Problem Information
  • Insufficient Device Problem Information

Patient

NA · Unknown

  • Insufficient Information
  • Insufficient Information

Narrative

Additional Manufacturer Narrative

CROSSTEX HAS MADE MULTIPLE ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION FROM THE CUSTOMER REGARDING THE REPORTED EVENT. TO DATE, WE HAVE NOT RECEIVED A RESPONSE. AS NO ADDITIONAL INFORMATION WAS PROVIDED REGARDING THE REPORTED EVENT, A ROOT CAUSE COULD NOT BE DETERMINED. CROSSTEX WILL CONTINUE TO MONITOR FOR SIMILAR EVENTS. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.

Additional Manufacturer Narrative

INVESTIGATION OF THIS EVENT IS CURRENTLY IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

THE USER FACILITY REPORTED THAT THEIR SLOTTED EVACUATOR TIPS ARE ABRASIVE AND CUTTING PATIENT'S LIPS. IT IS UNKNOWN IF THE PATIENT'S RECEIVED MEDICAL TREATMENT.