RESCUE
Received Apr 22, 2024 · Event occurred Apr 1, 2024
Report 3005099803-2024-01850 · MDR key 19152597
Device
Generic name
Endoscopic Grasping/cutting Instrument, Non-powered
Manufacturer
Anrei MedicalModel number
M00527451Catalog number
2745
Lot number
2023080901
Product problems
- Unsealed Device Packaging
- Packaging Problem
- Unsealed Device Packaging
- Packaging Problem
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK H6: IMDRF DEVICE CODE: A020503 CAPTURES THE REPORTABLE EVENT OF PACKAGING SEAL COMPROMISED.
Description of Event or Problem
IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A BOX OF THE RESCUE RETRIEVAL FORCEPS WAS RECEIVED AND UNPACKED ON AN UNKNOWN DATE. DURING UNPACKING, THE SEAL OF THE PRODUCT POUCH WAS PEELED OFF AND THE BOX WAS FLATTENED. THERE WAS NO PROCEDURE NOR PATIENT INVOLVED DURING THIS EVENT.
Additional Manufacturer Narrative
REPORT NUMBER 3005099803-2024-01850 WAS SUBMITTED IN ERROR. BOSTON SCIENTIFIC CORPORATION DOES NOT HAVE A REGULATORY/CONTRACTUAL OBLIGATION TO REPORT FOR THE RESCUE DEVICE. THE MANUFACTURER, ANREI MEDICAL, HAS THE REGULATORY/CONTRACTUAL OBLIGATION TO REPORT. B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. IMDRF DEVICE CODE A020503 CAPTURES THE REPORTABLE EVENT OF PACKAGING SEAL COMPROMISED.
Description of Event or Problem
IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A BOX OF THE RESCUE RETRIEVAL FORCEPS WAS RECEIVED AND UNPACKED ON AN UNKNOWN DATE. DURING UNPACKING, THE SEAL OF THE PRODUCT POUCH WAS PEELED OFF AND THE BOX WAS FLATTENED. THERE WAS NO PROCEDURE NOR PATIENT INVOLVED DURING THIS EVENT.